Healthcare Provider Details

I. General information

NPI: 1053144956
Provider Name (Legal Business Name): OLIVIA PIETRA BANE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 5TH AVE STE 810
PITTSBURGH PA
15213-3206
US

IV. Provider business mailing address

3471 5TH AVE STE 810
PITTSBURGH PA
15213-3206
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4920
  • Fax:
Mailing address:
  • Phone: 412-692-4920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2349550
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036018
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2349550
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: