Provider Demographics
NPI:1972597409
Name:NOSCHESE, MICHELLE (CRNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:NOSCHESE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:LYNN
Other - Last Name:NOSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CRNP CDE
Mailing Address - Street 1:490 EAST NORTH AVE
Mailing Address - Street 2:SUITE 504
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-5120
Mailing Address - Fax:412-359-5125
Practice Address - Street 1:490 EAST NORTH AVE
Practice Address - Street 2:SUITE 504
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-5120
Practice Address - Fax:412-359-5125
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
084814Q17Medicare PIN
PAQ27248Medicare UPIN