Provider Demographics
NPI:1437148608
Name:CRONIN, MICHELLE A (CRNP)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:A
Last Name:CRONIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:A
Other - Last Name:ZELINKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:446 LINCOLN AVE
Mailing Address - Street 2:BELLEVUE PEDIATRIC ASSOCIATES
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3631
Mailing Address - Country:US
Mailing Address - Phone:412-761-1190
Mailing Address - Fax:412-761-0525
Practice Address - Street 1:446 LINCOLN AVE
Practice Address - Street 2:BELLEVUE PEDIATRIC ASSOCIATES
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3631
Practice Address - Country:US
Practice Address - Phone:412-761-1190
Practice Address - Fax:412-761-0525
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN284696L163WP0200X
PAVP002104D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02149OtherEPSDT PROVIDER NUMBER
PARN284696LOtherRN LIC NUMBER
PAVP002104DOtherCRNP LIC NUMBER
PAVP002104DOtherCRNP LIC NUMBER