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NPI Code Detail

MEDICARE: NATHANIEL FARDO

MEDICARE: NATHANIEL FARDO
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
1363LC0200XCritical Care Medicine Nurse PractitionerSP035534PA

General Provider Information

NPI Number : 1578407011
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL FARDO
Provider Business Mailing Address
First Line : 410 WATER WORKS RD
Second Line :
City : SEWICKLEY
State : PA
Zip : 15143-9470
Country : US
Telephone Number : 724-815-1084
Fax Number :
Provider Business Practice Location Address
First Line : 300 HALKET ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15213-3108
Country : US
Telephone Number : 412-641-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/25/2026

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Directions to “ NATHANIEL FARDO ” Practice Location

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