Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | SP019677 | PA |
NPI | 1245707389 |
---|---|
Provider Name | Miranda Lynn Pifferetti |
First Address | Hunker, PA 15639-1288 |
Second Address | Pittsburgh, PA 15220-2783 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2018 |
Last Update Date | 11/09/2020 |