Healthcare Provider Details

I. General information

NPI: 1063426419
Provider Name (Legal Business Name): ANN Q. TRAGESER RN, MN, CRRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5376 HACIENDA DR
PITTSBURGH PA
15236-2804
US

IV. Provider business mailing address

5376 HACIENDA DR
PITTSBURGH PA
15236-2804
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6000
  • Fax:
Mailing address:
  • Phone: 412-688-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License NumberRN177795L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: