Healthcare Provider Details

I. General information

NPI: 1114903770
Provider Name (Legal Business Name): CAROLYN TODARO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN FINE CRNP

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 ROSTRAVER RD STE 202
ROSTRAVER TOWNSHIP PA
15012-9655
US

IV. Provider business mailing address

4 ALLEGHENY CTR FL 7
PITTSBURGH PA
15212-5227
US

V. Phone/Fax

Practice location:
  • Phone: 724-929-2260
  • Fax: 724-929-3474
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberVP005940W
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: