Healthcare Provider Details

I. General information

NPI: 1164063681
Provider Name (Legal Business Name): KAREN ANDERSON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2019
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 4TH AVE FL 7
PITTSBURGH PA
15219-1500
US

IV. Provider business mailing address

429 4TH AVE FL 7
PITTSBURGH PA
15219-1500
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 888-731-8994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF09191489
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: