Provider Demographics
NPI:1407309040
Name:ISTONE, CHARITY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CHARITY
Middle Name:
Last Name:ISTONE
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 1:200 HILLVUE LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5344
Mailing Address - Country:US
Mailing Address - Phone:412-369-5426
Mailing Address - Fax:412-369-5532
Practice Address - Street 1:200 HILLVUE LN
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5344
Practice Address - Country:US
Practice Address - Phone:412-369-5426
Practice Address - Fax:412-369-5532
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP004744B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily