Healthcare Provider Details

I. General information

NPI: 1184971707
Provider Name (Legal Business Name): COLEEN M TARBI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 08/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 ARDMORE BLVD SUITE 700
PITTSBURGH PA
15221-5299
US

IV. Provider business mailing address

1309 10TH AVE
NATRONA HEIGHTS PA
15065-1123
US

V. Phone/Fax

Practice location:
  • Phone: 412-436-1328
  • Fax: 412-436-1355
Mailing address:
  • Phone: 724-224-0246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN298018L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: