Provider Demographics
NPI:1477987824
Name:VESCHIO, BRENDA M (CRNP)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:M
Last Name:VESCHIO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:M
Other - Last Name:PERSICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 BROOKS LN
Mailing Address - Street 2:SUITE 290
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3747
Mailing Address - Country:US
Mailing Address - Phone:412-729-1500
Mailing Address - Fax:412-384-2462
Practice Address - Street 1:1200 BROOKS LN
Practice Address - Street 2:SUITE 290
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3747
Practice Address - Country:US
Practice Address - Phone:412-729-1500
Practice Address - Fax:412-384-2462
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily