Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP012381 | PA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP012381 | PA |
NPI | 1568713295 |
---|---|
Provider Name | Sarah M Piscatello |
First Address | Johnstown, PA 15905-4305 |
Second Address | Johnstown, PA 15905-4305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2012 |
Last Update Date | 24/01/2020 |