Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP009979 | PA |
NPI | 1063663854 |
---|---|
Provider Name | Michelle Keibler |
First Address | Pittsburgh, PA 15215-3234 |
Second Address | Pittsburgh, PA 15215-3234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2008 |
Last Update Date | 25/03/2021 |