Provider Demographics
NPI:1043858830
Name:GANTNER, ALAYNA NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:ALAYNA
Middle Name:NICOLE
Last Name:GANTNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALAYNA
Other - Middle Name:NICOLE
Other - Last Name:TURCONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:320 E NORTH AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-681-2300
Mailing Address - Fax:412-681-6959
Practice Address - Street 1:320 E NORTH AVE FL 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-681-2300
Practice Address - Fax:412-681-6959
Is Sole Proprietor?:No
Enumeration Date:2019-12-12
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061172363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
14592268OtherCAQH