Provider Demographics
NPI:1598526865
Name:KRUT, LUCY ANNE (PMHNP)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:ANNE
Last Name:KRUT
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 CROSBY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-1906
Mailing Address - Country:US
Mailing Address - Phone:412-537-0664
Mailing Address - Fax:
Practice Address - Street 1:4262 OLD WILLIAM PENN HWY STE 200
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1954
Practice Address - Country:US
Practice Address - Phone:412-668-4444
Practice Address - Fax:724-468-0039
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029091363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health