Provider Demographics
NPI:1437435773
Name:MENNOW, RONALD ALAN JR (CRNP)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:ALAN
Last Name:MENNOW
Suffix:JR
Gender:M
Credentials:CRNP
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Mailing Address - Street 1:200 DELAFIELD RD
Mailing Address - Street 2:SUITE 2040
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3205
Mailing Address - Country:US
Mailing Address - Phone:412-784-5888
Mailing Address - Fax:412-784-5281
Practice Address - Street 1:200 DELAFIELD RD
Practice Address - Street 2:SUITE2040
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3205
Practice Address - Country:US
Practice Address - Phone:412-784-5888
Practice Address - Fax:412-784-5281
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2021-07-23
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Provider Licenses
StateLicense IDTaxonomies
PASP011672363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care