Doctor Name: | HEATHER LYN KRASKA |
NPI Number: | 1184970519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP012243 |
Business Practice Address: | 1200 Brooks Ln Suite 130 Jefferson Hills, PA - 150253747 |
Business Phone Number: | 4124693600 |
Business Fax Number: | |
Mailing Address: | 347 Turngate Dr, BETHEL PARK |
State: | PA |
Postal Code: | 151021427 |
Phone Number: | 4128607968 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2012 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | SP012243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |