Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | SL015924 | PA |
NPI | 1104587518 |
---|---|
Provider Name | Melissa Helen Peyton |
First Address | Munhall, PA 15120-3551 |
Second Address | Pittsburgh, PA 15232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2022 |
Last Update Date | 07/01/2022 |