Provider Demographics
NPI:1609385095
Name:HABIB, KRYSTINA (NP)
Entity Type:Individual
Prefix:
First Name:KRYSTINA
Middle Name:
Last Name:HABIB
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:DEPT. OF NEUROSURGERY SUITE B-400
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-647-3685
Mailing Address - Fax:412-647-0989
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:DEPT. OF NEUROSURGERY SUITE B-400
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-647-3685
Practice Address - Fax:412-647-0989
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2024-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MARN2304487363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner