Provider Demographics
NPI:1477058105
Name:CARYL, LUANN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:LUANN
Middle Name:
Last Name:CARYL
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 1:135 ALLEGHENY AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-2201
Mailing Address - Country:US
Mailing Address - Phone:412-784-7020
Mailing Address - Fax:412-784-7025
Practice Address - Street 1:135 ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-2201
Practice Address - Country:US
Practice Address - Phone:412-784-7020
Practice Address - Fax:412-784-7025
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily