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NPI Code Detail

MEDICARE: ISA AL-AMIN PRACTICAL NURSE

MEDICARE:   ISA  AL-AMIN  PRACTICAL NURSE
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
1164W00000XLicensed Practical NursePN290142PA

General Provider Information

NPI Number : 1649834789
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISA AL-AMIN PRACTICAL NURSE
Provider Business Mailing Address
First Line : 1400 S BRADDOCK AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1264
Country : US
Telephone Number : 412-683-7100
Fax Number : 412-683-4160
Provider Business Practice Location Address
First Line : 1400 S BRADDOCK AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1264
Country : US
Telephone Number : 412-683-7100
Fax Number : 412-683-4160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2019
Last Update Date : 04/24/2019

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Directions to “ ISA AL-AMIN PRACTICAL NURSE” Practice Location

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