Healthcare Provider Details

I. General information

NPI: 1215908140
Provider Name (Legal Business Name): DEBORAH L KOJSZA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST SUITE 4628
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

300 HALKET ST SUITE 4628
PITTSBURGH PA
15213-3108
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-4530
  • Fax: 412-641-2256
Mailing address:
  • Phone: 412-641-4530
  • Fax: 412-641-2256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberVP006898B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: