Healthcare Provider Details
I. General information
NPI: 1982652509
Provider Name (Legal Business Name): DONNA YOHE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/05/2006
Last Update Date: 09/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 LEWIS RUN RD SUITE 202
PITTSBURGH PA
15122-3056
US
IV. Provider business mailing address
1524 HIGH RD
JEFFERSON HILLS PA
15025-3524
US
V. Phone/Fax
- Phone: 412-469-6964
- Fax: 412-469-6948
- Phone: 412-384-7964
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | RN238989L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: