Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | SP021234 | PA |
NPI | 1053941203 |
---|---|
Provider Name | Emily Zeszutek |
First Address | Pittsburgh, PA 15219-5114 |
Second Address | Pittsburgh, PA 15219-5114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2020 |
Last Update Date | 16/01/2020 |