Healthcare Provider Details

I. General information

NPI: 1588058119
Provider Name (Legal Business Name): ANDREW FLEMING RN, BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2015
Last Update Date: 03/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LOCUST ST
PITTSBURGH PA
15219-5114
US

IV. Provider business mailing address

1400 LOCUST ST
PITTSBURGH PA
15219-5114
US

V. Phone/Fax

Practice location:
  • Phone: 724-689-3544
  • Fax:
Mailing address:
  • Phone: 724-689-3544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN611894
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: