Provider Demographics
NPI:1619957495
Name:TAGLIAVIA, NICOLE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:A
Last Name:TAGLIAVIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 LUCY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-3339
Mailing Address - Country:US
Mailing Address - Phone:412-831-0128
Mailing Address - Fax:
Practice Address - Street 1:UPMC PRESBYTERIAN HOSPITAL
Practice Address - Street 2:200 LOTHROP STREET #D427
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-647-2619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist