Provider Demographics
NPI:1093908774
Name:GOOD, ANTHONY EDMUND (DNP, CRNP, RN)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:EDMUND
Last Name:GOOD
Suffix:
Gender:M
Credentials:DNP, CRNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:AVALON
Mailing Address - State:PA
Mailing Address - Zip Code:15202-2706
Mailing Address - Country:US
Mailing Address - Phone:320-309-9880
Mailing Address - Fax:
Practice Address - Street 1:372 N CRAIG ST STE 101
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1245
Practice Address - Country:US
Practice Address - Phone:412-683-1278
Practice Address - Fax:412-683-6992
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010340363LF0000X
MN200700421322363LF0000X
PASP010341363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology