Healthcare Provider Details

I. General information

NPI: 1891610432
Provider Name (Legal Business Name): MELANIE HANOVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1722
US

IV. Provider business mailing address

1005 MIRROR ST
PITTSBURGH PA
15217-2645
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-5000
  • Fax:
Mailing address:
  • Phone: 610-737-8914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number159834
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN705173
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: