Provider Demographics
NPI:1629064902
Name:LINSENBIGLER, CARLA (CRNA)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:LINSENBIGLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 73221
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0002
Mailing Address - Country:US
Mailing Address - Phone:412-578-1354
Mailing Address - Fax:412-578-4981
Practice Address - Street 1:4800 FRIENDSHIP AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:412-578-1354
Practice Address - Fax:412-578-4981
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA070973367500000X
PARN303508L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810009897Medicaid
PAP00346742OtherRAILROAD MEDICARE
PA075625U31Medicare PIN
PA075625EBTMedicare ID - Type Unspecified