Provider Demographics
NPI:1538316989
Name:HECK, NITA JO (CRNP)
Entity Type:Individual
Prefix:
First Name:NITA
Middle Name:JO
Last Name:HECK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:NITA
Other - Middle Name:COLEMAN
Other - Last Name:HECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:526 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1854
Mailing Address - Country:US
Mailing Address - Phone:412-931-7415
Mailing Address - Fax:412-931-7257
Practice Address - Street 1:526 PERRY HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1854
Practice Address - Country:US
Practice Address - Phone:412-931-7415
Practice Address - Fax:412-931-7257
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP001422B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily