Healthcare Provider Details

I. General information

NPI: 1881687218
Provider Name (Legal Business Name): WENDY LYNN EMERY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 S BELLEFIELD AVE
PITTSBURGH PA
15213-3552
US

IV. Provider business mailing address

303 PENNSYLVANIA AVE
OAKMONT PA
15139-1926
US

V. Phone/Fax

Practice location:
  • Phone: 412-529-8773
  • Fax: 412-224-4723
Mailing address:
  • Phone: 412-298-9984
  • Fax: 412-224-4723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTP004334BP
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License NumberTP004334B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: