Healthcare Provider Details

I. General information

NPI: 1952855165
Provider Name (Legal Business Name): ERIKA WISLER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2016
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 COAL VALLEY RD
JEFFERSON HILLS PA
15025-3703
US

IV. Provider business mailing address

565 COAL VALLEY RD
JEFFERSON HILLS PA
15025-3703
US

V. Phone/Fax

Practice location:
  • Phone: 412-267-6810
  • Fax: 412-267-6817
Mailing address:
  • Phone: 412-267-6810
  • Fax: 412-267-6817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016413
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: