Healthcare Provider Details

I. General information

NPI: 1376528307
Provider Name (Legal Business Name): TODD ALAN HRTYANSKI CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 FRIENDSHIP AVE SUITE 240
PITTSBURGH PA
15224-1770
US

IV. Provider business mailing address

4727 FRIENDSHIP AVENUE SUITE 240
PITTSBURGH PA
15224
US

V. Phone/Fax

Practice location:
  • Phone: 412-235-5877
  • Fax:
Mailing address:
  • Phone: 412-235-5877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN257320L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: