Healthcare Provider Details

I. General information

NPI: 1194058776
Provider Name (Legal Business Name): NATALIE RAE DEAL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2009
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 CARLISLE ST
NATRONA HEIGHTS PA
15065-1152
US

IV. Provider business mailing address

320 E NORTH AVE
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 724-226-7010
  • Fax: 724-226-7404
Mailing address:
  • Phone: 412-359-3155
  • Fax: 412-359-3483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN537359
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: