Healthcare Provider Details

I. General information

NPI: 1720730658
Provider Name (Legal Business Name): CLAY ANDREW FRITZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W EDISON AVE
NEW CASTLE PA
16101-2174
US

IV. Provider business mailing address

1384 OLD FREEPORT RD
PITTSBURGH PA
15238-3129
US

V. Phone/Fax

Practice location:
  • Phone: 574-546-1900
  • Fax: 574-546-1999
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP025247
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: