Provider Demographics
NPI:1598190167
Name:MRVOS, DESSA Y (RN)
Entity Type:Individual
Prefix:MRS
First Name:DESSA
Middle Name:Y
Last Name:MRVOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 FORBES AVE
Mailing Address - Street 2:UNION 2ND FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-3016
Mailing Address - Country:US
Mailing Address - Phone:412-396-1650
Mailing Address - Fax:412-396-5655
Practice Address - Street 1:600 FORBES AVE
Practice Address - Street 2:UNION 2ND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3016
Practice Address - Country:US
Practice Address - Phone:412-396-1650
Practice Address - Fax:412-396-5655
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN262485L261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service