Healthcare Provider Details

I. General information

NPI: 1851979611
Provider Name (Legal Business Name): MEGAN RAE OBRIEN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST STE 4500
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

704 NANCY JEAN DR
MC KEES ROCKS PA
15136-1014
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-6600
  • Fax:
Mailing address:
  • Phone: 412-526-4882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP022874
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: