Provider Demographics
NPI:1811249196
Name:PAVLINSKY, HEATHER (CRNP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:PAVLINSKY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 ARMBRUST RD STE 102
Mailing Address - Street 2:
Mailing Address - City:YOUNGWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15697-1816
Mailing Address - Country:US
Mailing Address - Phone:724-635-0147
Mailing Address - Fax:724-804-0703
Practice Address - Street 1:322 ARMBRUST RD STE 102
Practice Address - Street 2:
Practice Address - City:YOUNGWOOD
Practice Address - State:PA
Practice Address - Zip Code:15697-1816
Practice Address - Country:US
Practice Address - Phone:724-635-0147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA274488LLBMedicare PIN