Healthcare Provider Details

I. General information

NPI: 1558963306
Provider Name (Legal Business Name): NATALIE CHRISTINE KRALY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MICHIGAN AVE
JEANNETTE PA
15644-2433
US

IV. Provider business mailing address

601 MICHIGAN AVE
JEANNETTE PA
15644-2433
US

V. Phone/Fax

Practice location:
  • Phone: 724-523-2323
  • Fax: 724-523-2754
Mailing address:
  • Phone: 724-523-2323
  • Fax: 724-523-2754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP022423
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: