MEDICARE: BETH PANIZALES 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
1	363LA2200X	Adult Health Nurse Practitioner	SP007372	PA
2	363L00000X	Nurse Practitioner	SP007372	PA

General Provider Information

NPI Number	:	1861582686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH PANIZALES CRNP

Provider Business Mailing Address
First Line	:	213 EXECUTIVE DR STE 340
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6405
Country	:	US
Telephone Number	:	412-436-9332
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 EXECUTIVE DR STE 340
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6405
Country	:	US
Telephone Number	:	412-436-9332
Fax Number	:

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	05/18/2026

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Directions to “ BETH PANIZALES CRNP” Practice Location

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