Provider Demographics
NPI:1104080456
Name:DRAHNAK, GWENDOLEN (NP)
Entity type:Individual
Prefix:
First Name:GWENDOLEN
Middle Name:
Last Name:DRAHNAK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:GWENDOLEN
Other - Middle Name:
Other - Last Name:SWATSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:5009 SILENT MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-2577
Mailing Address - Country:US
Mailing Address - Phone:412-213-3266
Mailing Address - Fax:412-213-3272
Practice Address - Street 1:1000 DUTCH RIDGE RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-9727
Practice Address - Country:US
Practice Address - Phone:412-213-3266
Practice Address - Fax:412-213-3272
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP005026B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily