Healthcare Provider Details

I. General information

NPI: 1093060295
Provider Name (Legal Business Name): ALICE OKONAK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2012
Last Update Date: 03/25/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HOT METAL ST FL 2 QUANTUM ONE
PITTSBURGH PA
15203-2348
US

IV. Provider business mailing address

364 LIBRARY PL
OAKMONT PA
15139-1532
US

V. Phone/Fax

Practice location:
  • Phone: 412-432-7400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP012165
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: