Healthcare Provider Details

I. General information

NPI: 1962041566
Provider Name (Legal Business Name): HALEY TOUGHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 05/24/2021
Certification Date: 12/30/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST SUITE 200, CWING
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

18 N BRADDOCK HTS APT A SUITE 200, CWING
BRADDOCK PA
15104-3835
US

V. Phone/Fax

Practice location:
  • Phone: 412-877-7304
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number130248
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: