Healthcare Provider Details

I. General information

NPI: 1184545220
Provider Name (Legal Business Name): MARIAH STURGES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 ROOSEVELT RD
PITTSBURGH PA
15237-1024
US

IV. Provider business mailing address

391 ROOSEVELT RD
PITTSBURGH PA
15237-1024
US

V. Phone/Fax

Practice location:
  • Phone: 724-333-7427
  • Fax:
Mailing address:
  • Phone: 724-333-7427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP036614
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: