Provider Demographics
NPI:1114238573
Name:ELIZA-CHRISTIE, AYA FILOMENA (CNM)
Entity Type:Individual
Prefix:
First Name:AYA
Middle Name:FILOMENA
Last Name:ELIZA-CHRISTIE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:CHRISTIE
Other - Last Name:DECHELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:309 WEST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3340
Mailing Address - Country:US
Mailing Address - Phone:202-641-4370
Mailing Address - Fax:
Practice Address - Street 1:2831 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-4713
Practice Address - Country:US
Practice Address - Phone:412-321-6880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
PAMW010474367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No374J00000XNursing Service Related ProvidersDoula