Provider Demographics
NPI:1093469306
Name:MERZLAK, KAYA BHARAT KIKANI (CRNP)
Entity Type:Individual
Prefix:
First Name:KAYA
Middle Name:BHARAT KIKANI
Last Name:MERZLAK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7469 LIGHTHOUSE PT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2587
Mailing Address - Country:US
Mailing Address - Phone:215-262-6627
Mailing Address - Fax:
Practice Address - Street 1:16055 PERRY HWY
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-6885
Practice Address - Country:US
Practice Address - Phone:407-233-4006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-06
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025333363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care