Healthcare Provider Details

I. General information

NPI: 1245301753
Provider Name (Legal Business Name): MELISSA ANN YAUGER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA ANN GOOD CRNA

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date: 12/12/2018
Reactivation Date: 12/19/2018

III. Provider practice location address

4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1722
US

IV. Provider business mailing address

320 E NORTH AVE
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-5323
  • Fax: 412-605-6425
Mailing address:
  • Phone: 412-359-3155
  • Fax: 412-359-3483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.0998669-CRNA
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN46202CRNA
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN344363L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: