Provider Demographics
NPI:1316697832
Name:PIRRELLO, CHEYENNE T
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:T
Last Name:PIRRELLO
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 1:1782 W 42ND ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-1144
Mailing Address - Country:US
Mailing Address - Phone:817-793-2707
Mailing Address - Fax:
Practice Address - Street 1:1782 W 42ND ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-1144
Practice Address - Country:US
Practice Address - Phone:817-793-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-27
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program