Healthcare Provider Details

I. General information

NPI: 1144998162
Provider Name (Legal Business Name): ADRIANA USECHE-BENITEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 09/03/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 BEAVER AVE
PITTSBURGH PA
15233-2360
US

IV. Provider business mailing address

1425 BEAVER AVENUE
PITTSBURGH PA
15233-2313
US

V. Phone/Fax

Practice location:
  • Phone: 412-322-8415
  • Fax:
Mailing address:
  • Phone: 412-322-8415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN668703
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: