Healthcare Provider Details

I. General information

NPI: 1689471922
Provider Name (Legal Business Name): NATALIE RAYE PUST CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 CEDAR BLVD APT A
PITTSBURGH PA
15228-1055
US

IV. Provider business mailing address

1335 CEDAR BLVD APT A
PITTSBURGH PA
15228-1055
US

V. Phone/Fax

Practice location:
  • Phone: 412-956-5414
  • Fax:
Mailing address:
  • Phone: 412-956-5414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number30227515
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: