Healthcare Provider Details

I. General information

NPI: 1912985508
Provider Name (Legal Business Name): ERIN JANE LEYDIG C.R.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN JANE GALLAGHER C.R.N.P.

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 08/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 BRINTON RD
PITTSBURGH PA
15221-4533
US

IV. Provider business mailing address

12 HARRINGTON WAY
GREENSBURG PA
15601-6033
US

V. Phone/Fax

Practice location:
  • Phone: 412-525-0204
  • Fax: 888-816-8109
Mailing address:
  • Phone: 724-331-7572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP008764
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: