Healthcare Provider Details

I. General information

NPI: 1831636372
Provider Name (Legal Business Name): KATHLEEN CALA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 01/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 BOULEVARD OF THE ALLIES SUITE 200
PITTSBURGH PA
15219-5964
US

IV. Provider business mailing address

1811 BOULEVARD OF THE ALLIES SUITE 200
PITTSBURGH PA
15219-5964
US

V. Phone/Fax

Practice location:
  • Phone: 412-566-1568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP017117
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: