Healthcare Provider Details
I. General information
NPI: 1417633876
Provider Name (Legal Business Name): PASQUALINA KATHRYN HILINSKI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/22/2023
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
315 LOCUST ST STE 2
JOHNSTOWN PA
15901-1651
US
IV. Provider business mailing address
803 UNITY CENTER RD
PITTSBURGH PA
15239-1438
US
V. Phone/Fax
- Phone: 814-534-6242
- Fax:
- Phone: 412-526-1379
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | SP027717 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | SP027717 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: