Healthcare Provider Details

I. General information

NPI: 1437148608
Provider Name (Legal Business Name): MICHELLE A. CRONIN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE A. ZELINKA CRNP

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 10/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 LINCOLN AVE BELLEVUE PEDIATRIC ASSOCIATES
PITTSBURGH PA
15202-3631
US

IV. Provider business mailing address

446 LINCOLN AVE BELLEVUE PEDIATRIC ASSOCIATES
PITTSBURGH PA
15202-3631
US

V. Phone/Fax

Practice location:
  • Phone: 412-761-1190
  • Fax: 412-761-0525
Mailing address:
  • Phone: 412-761-1190
  • Fax: 412-761-0525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN284696L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberVP002104D
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: