Healthcare Provider Details

I. General information

NPI: 1083530968
Provider Name (Legal Business Name): ALLA GUTSU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 FRANKSTOWN AVE
PITTSBURGH PA
15206-4148
US

IV. Provider business mailing address

520 INGOMAR RD
WEXFORD PA
15090-9514
US

V. Phone/Fax

Practice location:
  • Phone: 330-754-4431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036311
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: