Healthcare Provider Details

I. General information

NPI: 1750772646
Provider Name (Legal Business Name): LANA MARIE HULBERT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LANA REINHARDT

II. Dates (important events)

Enumeration Date: 02/12/2015
Last Update Date: 02/14/2021
Certification Date: 02/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005A BANKSVILLE RD
PITTSBURGH PA
15216
US

IV. Provider business mailing address

2891 BANKSVILLE RD
PITTSBURGH PA
15216-2815
US

V. Phone/Fax

Practice location:
  • Phone: 412-942-0702
  • Fax: 412-942-0733
Mailing address:
  • Phone: 412-942-0702
  • Fax: 412-942-0733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP014789
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: