Healthcare Provider Details

I. General information

NPI: 1922559780
Provider Name (Legal Business Name): AMANDA MARIE LORENZI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2016
Last Update Date: 10/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE A
PITTSBURGH PA
15261-0001
US

IV. Provider business mailing address

UNIVERSITY DRIVE A
PITTSBURGH PA
15261-0001
US

V. Phone/Fax

Practice location:
  • Phone: 412-822-2222
  • Fax:
Mailing address:
  • Phone: 412-822-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN619379
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: