Provider Demographics
NPI:1285693085
Name:URSINY, DARLENE (NP)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:URSINY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2754 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4552
Mailing Address - Country:US
Mailing Address - Phone:412-860-5005
Mailing Address - Fax:509-554-5576
Practice Address - Street 1:2526 MONROEVILLE BLVD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2358
Practice Address - Country:US
Practice Address - Phone:412-702-9458
Practice Address - Fax:509-554-5576
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005003B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1014948200001Medicaid
OH2640655Medicaid
PA100124V38Medicare PIN