Basic Information
Provider Information
NPI: 1407917362
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PINYOT
FirstName: MARY
MiddleName: CLAIRE
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1910 COCHRAN RD STE 490
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152201203
CountryCode: US
TelephoneNumber: 4125312902
FaxNumber: 4125312948
Practice Location
Address1: 140 CURRY HOLLOW RD
Address2: SUITE 2
City: PITTSBURGH
State: PA
PostalCode: 152364604
CountryCode: US
TelephoneNumber: 4126505623
FaxNumber: 4126507370
Other Information
ProviderEnumerationDate: 12/13/2006
LastUpdateDate: 06/23/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN252976LPAN Nursing Service ProvidersRegistered Nurse 
363LF0000XVP006417BPAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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