Provider Demographics
NPI:1467962878
Name:D'ALESSANDRO, NICOLE HELENE (PA-C)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:HELENE
Last Name:D'ALESSANDRO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 CLINTON AVE UNIT 219
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3172
Mailing Address - Country:US
Mailing Address - Phone:814-730-5652
Mailing Address - Fax:
Practice Address - Street 1:5200 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1300
Practice Address - Country:US
Practice Address - Phone:412-623-3634
Practice Address - Fax:412-623-3357
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.005289RX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical