Healthcare Provider Details

I. General information

NPI: 1093992026
Provider Name (Legal Business Name): TAMMY TOKARCZYK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 03/25/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST FL 9 4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

200 LOTHROP ST 4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-3087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP009554
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: