Healthcare Provider Details

I. General information

NPI: 1841528247
Provider Name (Legal Business Name): PETER BRUCE NASMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2009
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1722
US

IV. Provider business mailing address

3010 KNOWLSON AVE
PITTSBURGH PA
15226-1737
US

V. Phone/Fax

Practice location:
  • Phone: 800-394-4445
  • Fax:
Mailing address:
  • Phone: 412-352-5232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN562142
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: