Healthcare Provider Details

I. General information

NPI: 1831112390
Provider Name (Legal Business Name): TINA DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 05/24/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST 613 SCAIFE HALL
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

200 LOTHROP ST FORBES TOWER SUITE 9055
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-3136
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberSP008822
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: