MEDICARE: MRS. LORETTA(LORI) J FERIERO-JAKIELA CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	RN245085L	PA

General Provider Information

NPI Number	:	1598738775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORETTA(LORI) J FERIERO-JAKIELA CRNA

Provider Business Mailing Address
First Line	:	2775 MOSSIDE BLVD
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2760
Country	:	US
Telephone Number	:	412-357-3643
Fax Number	:

Provider Business Practice Location Address
First Line	:	2775 MOSSIDE BLVD
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2760
Country	:	US
Telephone Number	:	412-357-3643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	07/02/2014

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