Provider Demographics
NPI:1619567161
Name:WAST, KAMI (CRNP)
Entity Type:Individual
Prefix:
First Name:KAMI
Middle Name:
Last Name:WAST
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11525 CLEMATIS BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3105
Mailing Address - Country:US
Mailing Address - Phone:724-858-6261
Mailing Address - Fax:
Practice Address - Street 1:643 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1603
Practice Address - Country:US
Practice Address - Phone:412-709-5119
Practice Address - Fax:412-426-3770
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN682611163W00000X
PASP022843363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse