Healthcare Provider Details

I. General information

NPI: 1598711897
Provider Name (Legal Business Name): NOREEN GERACE C.R.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 INDUSTRIAL BLVD
PAOLI PA
19301-1601
US

IV. Provider business mailing address

7 PARKWAY CTR SUITE 375
PITTSBURGH PA
15220-3704
US

V. Phone/Fax

Practice location:
  • Phone: 610-408-0822
  • Fax: 610-408-9187
Mailing address:
  • Phone: 412-937-5700
  • Fax: 412-937-5739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN253466L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: