Healthcare Provider Details

I. General information

NPI: 1629193685
Provider Name (Legal Business Name): CHARLENE M DAVID APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE
PITTSBURGH PA
15240-3817
US

IV. Provider business mailing address

384 CAVAN DR
PLEASANT HILLS PA
15236-4341
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-8000
  • Fax:
Mailing address:
  • Phone: 412-650-8443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberRN270028
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: