MEDICARE: LARYN RAJKARNIKAR

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	363LF0000X	Family Nurse Practitioner	SP016522	PA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP027696	PA

General Provider Information

NPI Number	:	1982148284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARYN RAJKARNIKAR

Provider Business Mailing Address
First Line	:	304 CARLTON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5105
Country	:	US
Telephone Number	:	814-594-5371
Fax Number	:

Provider Business Practice Location Address
First Line	:	8958 HILL DR
Second Line	:
City	:	IRWIN
State	:	PA
Zip	:	15642-3112
Country	:	US
Telephone Number	:	724-755-3020
Fax Number	:	855-595-2907

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

Provider Enumeration Date	:	12/06/2016
Last Update Date	:	01/29/2025

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