Healthcare Provider Details

I. General information

NPI: 1275936114
Provider Name (Legal Business Name): VALERIE NAZAREK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2014
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 BLACKBERRY ST
WEST MIFFLIN PA
15122-3320
US

IV. Provider business mailing address

851 BLACKBERRY ST
WEST MIFFLIN PA
15122-3320
US

V. Phone/Fax

Practice location:
  • Phone: 412-377-5810
  • Fax:
Mailing address:
  • Phone: 412-377-5810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP014126
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP028438
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP014126
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: