Provider Demographics
NPI:1134468846
Name:CANTERBURY, CARRIE LEIGH (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:LEIGH
Last Name:CANTERBURY
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 1:1843 WOODCOVE PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2913
Mailing Address - Country:US
Mailing Address - Phone:412-303-5689
Mailing Address - Fax:
Practice Address - Street 1:1843 WOODCOVE PL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2913
Practice Address - Country:US
Practice Address - Phone:412-303-5689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012392, RN533281363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care