Mrs Lynda R Formosa, CRNP | |
331 Shaw Ave, Mckeesport, PA 15132-2918 | |
(412) 675-8585 | |
Not Available |
Full Name | Mrs Lynda R Formosa |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 331 Shaw Ave, Mckeesport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477665172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP007728 (Pennsylvania) | Primary |
Entity Name | Persoma P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790712156 PECOS PAC ID: 9436046828 Enrollment ID: O20040301001038 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lynda R Formosa, CRNP 3085 Route 30, Georgetown, PA 15043 Ph: (724) 573-4648 | Mrs Lynda R Formosa, CRNP 331 Shaw Ave, Mckeesport, PA 15132-2918 Ph: (412) 675-8585 |
Catherine Veronica Witt, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 5th Ave.suite Ma-42, Upmc Mckeesport Mansfield Building, Mckeesport, PA 15132 Phone: 412-664-2000 | |
Allison Renee Ridenour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Way, Mckeesport, PA 15132 Phone: 412-664-3392 | |
Mrs. Sarah Elizabeth Sproat, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 5th Ave, Mckeesport, PA 15132 Phone: 412-664-2000 | |
Miss Patricia A Mcnelis, APRN PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 331 Shaw Ave, Mckeesport, PA 15132 Phone: 412-675-8315 | |
Kerri Ann Parrott, MSN, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 918 Arlington St, Mckeesport, PA 15133 Phone: 412-720-7461 | |
Audelia Stoutamire, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Fifth Ave, Mckeesport, PA 15132 Phone: 412-664-2314 |