Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | SP010352 | PA |
NPI | 1003239674 |
---|---|
Provider Name | Frances Fleddermann |
First Address | Allison Park, PA 15101-1012 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2014 |
Last Update Date | 01/02/2014 |