Healthcare Provider Details

I. General information

NPI: 1508825472
Provider Name (Legal Business Name): LISA M GIOIA CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 FRIENDSHIP AVENUE
PITTSBURGH PA
15224-1722
US

IV. Provider business mailing address

PO BOX 73221
CLEVELAND OH
44193-0002
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-1354
  • Fax: 412-578-4981
Mailing address:
  • Phone: 412-578-1354
  • Fax: 412-578-4981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number49329
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN322028L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: