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NPI Code Detail

MEDICARE: AMANDA NICHOLE CIESZYNSKI CRNP

MEDICARE: AMANDA NICHOLE CIESZYNSKI 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 PractitionerSP022852PA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerSP022852PA

General Provider Information

NPI Number : 1871118448
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA NICHOLE CIESZYNSKI CRNP
Provider Business Mailing Address
First Line : 1000 GAMMA DRVIE
Second Line : SUITE 501
City : PITTSBURGH
State : PA
Zip : 15238
Country : US
Telephone Number : 412-249-9288
Fax Number :
Provider Business Practice Location Address
First Line : 1000 GAMMA DR STE 501
Second Line :
City : PITTSBURGH
State : PA
Zip : 15238-2926
Country : US
Telephone Number : 412-249-9288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2020
Last Update Date : 11/13/2024

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