Healthcare Provider Details

I. General information

NPI: 1639081433
Provider Name (Legal Business Name): ELIZABETH CLAIRE WHELAN PA-C
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 CENTRE AVE FL 4
PITTSBURGH PA
15232-1301
US

IV. Provider business mailing address

108 N HARLESTON DR
PITTSBURGH PA
15237-3928
US

V. Phone/Fax

Practice location:
  • Phone: 412-623-8484
  • Fax: 412-623-7948
Mailing address:
  • Phone: 412-577-6389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: