Provider Demographics
NPI:1710500566
Name:ELLIOTT, SONI LYNN (CRNP)
Entity Type:Individual
Prefix:
First Name:SONI
Middle Name:LYNN
Last Name:ELLIOTT
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 1:200 LOTHROP ST.
Mailing Address - Street 2:C800
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-647-7555
Mailing Address - Fax:412-647-4710
Practice Address - Street 1:200 LOTHROP ST.
Practice Address - Street 2:C800
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-647-7555
Practice Address - Fax:412-647-4710
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021979363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care