1356757025 NPI number — MS. MIRANDA JANE APPEL RDN

Table of content: MS. MIRANDA JANE APPEL RDN (NPI 1356757025)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356757025 NPI number — MS. MIRANDA JANE APPEL RDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
APPEL
Provider First Name:
MIRANDA
Provider Middle Name:
JANE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356757025
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/02/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
960 PENN AVE
Provider Second Line Business Mailing Address:
STE 600
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15222-3818
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-215-7494
Provider Business Mailing Address Fax Number:
412-288-9036

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 SOUTH JEFFERSON ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-714-1484
Provider Business Practice Location Address Fax Number:
724-658-7953
Provider Enumeration Date:
07/02/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  DN005084 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)