Healthcare Provider Details

I. General information

NPI: 1538799085
Provider Name (Legal Business Name): DANA PASCHKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 12/30/2024
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

5001 PENDLETON WAY APT 5322
CRANBERRY TWP PA
16066-6940
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5052
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN667655
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberSP021380
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: