Provider Demographics
NPI:1902077696
Name:CONGELIO, KAREN T (MSN, CRNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:T
Last Name:CONGELIO
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N WREN DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1248
Mailing Address - Country:US
Mailing Address - Phone:412-429-2570
Mailing Address - Fax:412-429-2572
Practice Address - Street 1:100 N WREN DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1248
Practice Address - Country:US
Practice Address - Phone:412-429-2570
Practice Address - Fax:412-429-2572
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007250363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner