Basic Information
Provider Information
NPI: 1306216502
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEGYESI
FirstName: ALLISON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 HAZEL LN FL 1
Address2:  
City: SEWICKLEY
State: PA
PostalCode: 151431249
CountryCode: US
TelephoneNumber: 4127496816
FaxNumber: 4127496819
Practice Location
Address1: 100 HAZEL LN FL 1
Address2:  
City: SEWICKLEY
State: PA
PostalCode: 151431249
CountryCode: US
TelephoneNumber: 4127496816
FaxNumber: 4127496819
Other Information
ProviderEnumerationDate: 09/30/2015
LastUpdateDate: 09/30/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XSP015391PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home