Healthcare Provider Details

I. General information

NPI: 1568891216
Provider Name (Legal Business Name): SAMANTHA ANN ESPOSITO CRNP, NP-C, MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 07/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 GREENTREE RD SUITE 102
PITTSBURGH PA
15220
US

IV. Provider business mailing address

500 GRANT ST STE 151-2010
PITTSBURGH PA
15219-2502
US

V. Phone/Fax

Practice location:
  • Phone: 412-920-0700
  • Fax:
Mailing address:
  • Phone: 412-234-4500
  • Fax: 412-236-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP013183
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberSP013183
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: