1528431343 NPI number — MICHELLE A TRAPUZZANO C.R.N.P.

Table of content: MICHELLE A TRAPUZZANO C.R.N.P. (NPI 1528431343)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528431343 NPI number — MICHELLE A TRAPUZZANO C.R.N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRAPUZZANO
Provider First Name:
MICHELLE
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
C.R.N.P.
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:
1528431343
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/16/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2275 SWALLOW HILL RD
Provider Second Line Business Mailing Address:
BLDG 2600
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-279-4522
Provider Business Mailing Address Fax Number:
412-279-3416

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1717 SKYLINE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15227-1744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-523-9966
Provider Business Practice Location Address Fax Number:
216-584-2895
Provider Enumeration Date:
11/02/2015

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: 363LF0000X , with the licence number:  SP015047 , 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)





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