Healthcare Provider Details

I. General information

NPI: 1699661017
Provider Name (Legal Business Name): CATHERINE O'NEILL KLEMICK FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5703 STEUBENVILLE PIKE
MC KEES ROCKS PA
15136-1310
US

IV. Provider business mailing address

405 PLAZA DR
PLEASANT HILLS PA
15236-5105
US

V. Phone/Fax

Practice location:
  • Phone: 412-788-4676
  • Fax:
Mailing address:
  • Phone: 585-754-0445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP033099
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierSP033099
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPA BOARD OF NURSING
# 2
IdentifierF03250354
Identifier TypeOTHER
Identifier State
Identifier IssuerAANPCB

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: