Provider Demographics
NPI:1962083402
Name:LYONS, MAURA KELLY (CRNP)
Entity type:Individual
Prefix:
First Name:MAURA
Middle Name:KELLY
Last Name:LYONS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MAURA
Other - Middle Name:KELLY
Other - Last Name:STOEHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:615 GORMLEY AVE
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2815
Mailing Address - Country:US
Mailing Address - Phone:412-715-2880
Mailing Address - Fax:
Practice Address - Street 1:9104 BABCOCK BLVD STE 3105
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5818
Practice Address - Country:US
Practice Address - Phone:724-772-2664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN723012163WM0705X
PASP028152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical