Provider Demographics
NPI:1245201474
Name:DRAGHI, MARY PAT (CRNP)
Entity Type:Individual
Prefix:
First Name:MARY PAT
Middle Name:
Last Name:DRAGHI
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 1:870 WEATHERWOOD LN
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5777
Mailing Address - Country:US
Mailing Address - Phone:724-850-3150
Mailing Address - Fax:724-850-3151
Practice Address - Street 1:870 WEATHERWOOD LN
Practice Address - Street 2:SUITE 1
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5777
Practice Address - Country:US
Practice Address - Phone:724-850-3150
Practice Address - Fax:724-850-3151
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP003705G363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS52371Medicare UPIN