Healthcare Provider Details

I. General information

NPI: 1962314302
Provider Name (Legal Business Name): MS. ASHLYN NICOLE BRUNO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 SHAW AVE
MCKEESPORT PA
15132-2918
US

IV. Provider business mailing address

64 LINKS DR
NEW CASTLE PA
16101-6270
US

V. Phone/Fax

Practice location:
  • Phone: 412-204-9100
  • Fax:
Mailing address:
  • Phone: 724-498-3217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: