Healthcare Provider Details

I. General information

NPI: 1215626031
Provider Name (Legal Business Name): DYLAN PITYK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 MCKNIGHT EAST DR
PITTSBURGH PA
15237-6400
US

IV. Provider business mailing address

8150 PERRY HWY STE 201
PITTSBURGH PA
15237-5200
US

V. Phone/Fax

Practice location:
  • Phone: 412-369-9943
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP027509
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: