Basic Information
| Provider Information | |||||||||
| NPI: | 1811459217 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HORNYAK | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | ALISSA | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2511 BISON CT | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165098403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7244222540 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 MEDICAL CENTER DR STE 8255 | ||||||||
| Address2: | |||||||||
| City: | MORGANTOWN | ||||||||
| State: | WV | ||||||||
| PostalCode: | 265061200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3045984929 | ||||||||
| FaxNumber: | 3045984930 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2019 | ||||||||
| LastUpdateDate: | 07/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | RN629729 | PA | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 367500000X | 28265933A | IN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.