Provider Demographics
NPI:1114075827
Name:INVERSO, CINDY S (CRNP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:S
Last Name:INVERSO
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 1:455 VALLEYBROOK RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3367
Mailing Address - Country:US
Mailing Address - Phone:724-941-8045
Mailing Address - Fax:724-941-1458
Practice Address - Street 1:455 VALLEYBROOK RD
Practice Address - Street 2:SUITE 300
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3367
Practice Address - Country:US
Practice Address - Phone:724-941-8045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2008-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007082363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP007082OtherSTATE LICENCE NUMBER
PASP007082OtherSTATE LICENCE NUMBER