Provider Demographics
NPI:1659856870
Name:VINELLI, KAYLA MICHELE (CRNP)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:MICHELE
Last Name:VINELLI
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 1:1000 HIGBEE DR STE D206
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-4200
Mailing Address - Country:US
Mailing Address - Phone:412-854-7140
Mailing Address - Fax:412-584-7142
Practice Address - Street 1:1000 HIGBEE DR STE D206
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-4200
Practice Address - Country:US
Practice Address - Phone:412-854-7140
Practice Address - Fax:412-584-7142
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019369363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health