Provider Demographics
NPI:1992977664
Name:MUCHA, SHIRLEY (APRN, BC)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:MUCHA
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 O HARA ST
Mailing Address - Street 2:ERC 712
Mailing Address - City:PITTBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-246-5323
Mailing Address - Fax:
Practice Address - Street 1:3811 O HARA ST
Practice Address - Street 2:ERC 712
Practice Address - City:PITTBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-246-5323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN 174829-L364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult