Provider Demographics
NPI:1396568333
Name:MORALES, KERIAKI GENEVIEVE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KERIAKI
Middle Name:GENEVIEVE
Last Name:MORALES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KERIAKI
Other - Middle Name:GENEVIEVE
Other - Last Name:GEORGILAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4330 OVERHILL ST
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-1922
Mailing Address - Country:US
Mailing Address - Phone:412-779-6946
Mailing Address - Fax:
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-7885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP030993363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics