Provider Demographics
NPI:1619323292
Name:CLOONAN, KRISTINE SUSAN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:SUSAN
Last Name:CLOONAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:KRISTINE
Other - Middle Name:SUSAN
Other - Last Name:HARTGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7171 CHURCHLAND STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1217
Mailing Address - Country:US
Mailing Address - Phone:412-361-8284
Mailing Address - Fax:
Practice Address - Street 1:7171 CHURCHLAND ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1217
Practice Address - Country:US
Practice Address - Phone:412-361-8284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN562007163W00000X
PASP017657363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse