Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP003253M | PA |
NPI | 1326198516 |
---|---|
Provider Name | Jane Guttendorf |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 15/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S72238 | (02) |