Healthcare Provider Details

I. General information

NPI: 1952096927
Provider Name (Legal Business Name): NICOLE DIANE FIRDA CRNP, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

600 GRANT ST FL 58
PITTSBURGH PA
15219-2739
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-1000
  • Fax:
Mailing address:
  • Phone: 412-647-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN685609
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberSP027953
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: