1992111421 NPI number — MRS. JONNA IRISH PASCUAL MULLARKEY ARNP

Table of content: MRS. JONNA IRISH PASCUAL MULLARKEY ARNP (NPI 1992111421)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992111421 NPI number — MRS. JONNA IRISH PASCUAL MULLARKEY ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MULLARKEY
Provider First Name:
JONNA IRISH
Provider Middle Name:
PASCUAL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PASCUAL
Provider Other First Name:
JONNA IRISH
Provider Other Middle Name:
OREJOLA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1992111421
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3601 FIFTH AVE.
Provider Second Line Business Mailing Address:
SUITE 3B
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-586-9700
Provider Business Mailing Address Fax Number:
412-586-9724

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9104 BABCOCK BLVD
Provider Second Line Business Practice Location Address:
SUITE 1106
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-586-9700
Provider Business Practice Location Address Fax Number:
412-586-9724
Provider Enumeration Date:
07/04/2014

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: 363LF0000X , with the licence number:  SP022694 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: ARNP9386828 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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