Healthcare Provider Details

I. General information

NPI: 1427451608
Provider Name (Legal Business Name): SHAWNA RACHAEL GILES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 ANDERSON ST
PITTSBURGH PA
15212-5803
US

IV. Provider business mailing address

127 ANDERSON ST
PITTSBURGH PA
15212-5803
US

V. Phone/Fax

Practice location:
  • Phone: 412-322-4151
  • Fax: 888-329-5701
Mailing address:
  • Phone: 412-322-4151
  • Fax: 888-329-5701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN-0992063-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number41718.1781
License Number StateWY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP024795
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: