Healthcare Provider Details
I. General information
NPI: 1033149182
Provider Name (Legal Business Name): JANINE MARIE MENEGHINI CRNP-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/04/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 BESSEMER RD EXECUTIVE BUILDING, SUITE 201
MOUNT PLEASANT PA
15666-9122
US
IV. Provider business mailing address
520 JEFFERSON AVE
JEANNETTE PA
15644-2538
US
V. Phone/Fax
- Phone: 724-547-3858
- Fax: 724-547-0737
- Phone: 724-527-8060
- Fax: 724-522-4002
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | F0405074 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: