Healthcare Provider Details

I. General information

NPI: 1437965803
Provider Name (Legal Business Name): LINDA ELLEN VOSHALL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 HOLIDAY DR STE 101
PITTSBURGH PA
15220-2727
US

IV. Provider business mailing address

400 HOLIDAY DR STE 101
PITTSBURGH PA
15220-2727
US

V. Phone/Fax

Practice location:
  • Phone: 412-921-2209
  • Fax: 412-921-2552
Mailing address:
  • Phone: 412-921-2209
  • Fax: 412-921-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP031569
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberSP031569
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: