Provider Demographics
NPI:1346298247
Name:SANDOR, ANNMARIE (CRNP)
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:SANDOR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ANNMARIE
Other - Middle Name:
Other - Last Name:BARANOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 HALKET ST STE 2601
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3108
Mailing Address - Country:US
Mailing Address - Phone:412-641-3075
Mailing Address - Fax:412-330-5522
Practice Address - Street 1:300 HALKET ST STE 2601
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3108
Practice Address - Country:US
Practice Address - Phone:412-641-3075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP006056B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102369700Medicaid
PA112482Medicare PIN
PA112482XRUMedicare PIN