Healthcare Provider Details

I. General information

NPI: 1316363765
Provider Name (Legal Business Name): AMY ONYSHKO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3945 WINSHIRE ST.
PITTSBURGH PA
15212
US

IV. Provider business mailing address

3945 WINSHIRE ST.
PITTSBURGH PA
15212
US

V. Phone/Fax

Practice location:
  • Phone: 412-527-8998
  • Fax:
Mailing address:
  • Phone: 412-527-8998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN613322
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: