Healthcare Provider Details
I. General information
NPI: 1063019974
Provider Name (Legal Business Name): LYNNE ANN CIPRIANI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/04/2020
Last Update Date: 10/04/2020
Certification Date: 10/04/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
28 STANCEY RD
PITTSBURGH PA
15220-1724
US
IV. Provider business mailing address
28 STANCEY RD
PITTSBURGH PA
15220-1724
US
V. Phone/Fax
- Phone: 412-334-4722
- Fax: 412-278-0896
- Phone: 412-334-4722
- Fax: 412-278-0896
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | SP021788 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: