Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP020972 | PA |
NPI | 1396387114 |
---|---|
Provider Name | Justine Michael Sicari |
First Address | Pittsburgh, PA 15212-4771 |
Second Address | Pittsburgh, PA 15212-4771 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2019 |
Last Update Date | 07/10/2020 |