Healthcare Provider Details

I. General information

NPI: 1366358871
Provider Name (Legal Business Name): ISABEL ROSE CLARKSON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 FEDERAL ST STE B100
PITTSBURGH PA
15212-4761
US

IV. Provider business mailing address

1307 FEDERAL ST STE B100
PITTSBURGH PA
15212-4761
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-8900
  • Fax: 412-359-8977
Mailing address:
  • Phone: 412-359-8900
  • Fax: 412-359-8977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP036909
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: