Provider Demographics
NPI:1548579030
Name:O'MARA, EMILIA NONE
Entity Type:Individual
Prefix:
First Name:EMILIA
Middle Name:NONE
Last Name:O'MARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 GREENTREE RD
Mailing Address - Street 2:SUITE A201
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1400
Mailing Address - Country:US
Mailing Address - Phone:412-446-1080
Mailing Address - Fax:412-446-1088
Practice Address - Street 1:7178 SANSUE DR
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-3759
Practice Address - Country:US
Practice Address - Phone:412-831-5711
Practice Address - Fax:412-446-1080
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN524758L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse