Basic Information
Provider Information
NPI: 1205278058
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MERINEY
FirstName: DEBORAH
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3445
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152303445
CountryCode: US
TelephoneNumber: 4129378887
FaxNumber: 4129379221
Practice Location
Address1: 2000 OXFORD DR
Address2: SUITE 200
City: BETHEL PARK
State: PA
PostalCode: 151021827
CountryCode: US
TelephoneNumber: 4129422140
FaxNumber: 4129426027
Other Information
ProviderEnumerationDate: 07/22/2013
LastUpdateDate: 02/19/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XSP012950PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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