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NPI Code Detail

MEDICARE: SARAH MARIE KIELEK CRNP

MEDICARE: SARAH MARIE KIELEK CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP018358PA

General Provider Information

NPI Number : 1457848244
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MARIE KIELEK CRNP
Provider Business Mailing Address
First Line : 1804 MAIN ST FL 2
Second Line :
City : PITTSBURGH
State : PA
Zip : 15215-2713
Country : US
Telephone Number : 724-448-5202
Fax Number :
Provider Business Practice Location Address
First Line : 950 2ND AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15219-3100
Country : US
Telephone Number : 412-350-2201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 04/17/2018

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