Healthcare Provider Details

I. General information

NPI: 1861207045
Provider Name (Legal Business Name): ANDREA ALLEGRETTO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

530 2ND AVE
JOHNSONBURG PA
15845-1117
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5325
  • Fax:
Mailing address:
  • Phone: 814-389-2502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberSP032175
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: