Provider Demographics
NPI:1154886752
Name:PFEIFFER, CARMEN LATIFE
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:LATIFE
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SCENIC HILL DR
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2258
Mailing Address - Country:US
Mailing Address - Phone:814-384-7633
Mailing Address - Fax:
Practice Address - Street 1:104 SCENIC HILL DR
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2258
Practice Address - Country:US
Practice Address - Phone:814-384-7633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN714961163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator