Healthcare Provider Details

I. General information

NPI: 1407823503
Provider Name (Legal Business Name): DEBORAH HLASNIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 07/25/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 5TH AVE FALK MEDICAL BLDG, SUITE 580
PITTSBURGH PA
15213-3403
US

IV. Provider business mailing address

2326 NICHOLSON RD FALK CLINIC, SUITE 3B
SEWICKLEY PA
15143-8696
US

V. Phone/Fax

Practice location:
  • Phone: 412-586-9713
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTP000837A
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: