MEDICARE: CASSANDRA HARLE 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	363LP0200X	Pediatric Nurse Practitioner	SP0039368	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871750661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA HARLE CRNP

Provider Business Mailing Address
First Line	:	11279 PERRY HWY
Second Line	:	SUITE 450
City	:	WEXFORD
State	:	PA
Zip	:	15090-9381
Country	:	US
Telephone Number	:	724-933-1100
Fax Number	:	724-933-1160

Provider Business Practice Location Address
First Line	:	1925 ROUTE 51
Second Line	:
City	:	LARGE
State	:	PA
Zip	:	15025-3681
Country	:	US
Telephone Number	:	412-384-9030
Fax Number	:	412-384-9038

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

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	05/20/2008

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