MEDICARE: ASHLEY CRISTIANO

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	163WG0000X	General Practice Registered Nurse	RN616543	PA

General Provider Information

NPI Number	:	1972067460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY CRISTIANO

Provider Business Mailing Address
First Line	:	271 LELIA ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-2329
Country	:	US
Telephone Number	:	412-805-1008
Fax Number	:

Provider Business Practice Location Address
First Line	:	271 LELIA ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-2329
Country	:	US
Telephone Number	:	412-805-1008
Fax Number	:

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

Provider Enumeration Date	:	01/29/2019
Last Update Date	:	01/29/2019

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Directions to “ ASHLEY CRISTIANO ” Practice Location

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