MS. LOUISE DERISO


Address: 412 Greendale Ave, Pittsburgh, PA 15218-1332
Phone: 4122420155

MS. LOUISE DERISO (NPI# 1356636252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356636252
Entity Type Individual
Full Name MS. LOUISE DERISO
Credential MSN, CRNP
Practice Address 412 Greendale Ave
Pittsburgh
PA 15218-1332
Practice Telephone 4122420155
Mailing Telephone 4122420155
Enumeration Date 2011-06-20
Last Update Date 2011-06-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
TP000609C PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 412 GREENDALE AVE
City PITTSBURGH
State PA
Zip Code 15218-1332

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City PITTSBURGH
Zip Code 15218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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