Provider Demographics
NPI:1114690773
Name:LIPINSKY DE ORLOV, KATRINA (CNM)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:LIPINSKY DE ORLOV
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7046 PENN AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2449
Mailing Address - Country:US
Mailing Address - Phone:914-479-9489
Mailing Address - Fax:
Practice Address - Street 1:5910 KIRKWOOD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3048
Practice Address - Country:US
Practice Address - Phone:412-661-8811
Practice Address - Fax:412-363-6901
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP023841363LW0102X
PAMW010637367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health