Provider Demographics
NPI:1710986146
Name:MAYER, CAROLYN D (CRNP)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:D
Last Name:MAYER
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:468 CLOVERDALE DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8359
Mailing Address - Country:US
Mailing Address - Phone:724-724-5788
Mailing Address - Fax:724-772-4644
Practice Address - Street 1:UPMC PASSAVANT HOSPITAL
Practice Address - Street 2:1 SAINT FRANCIS WAY
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-5119
Practice Address - Country:US
Practice Address - Phone:724-772-5877
Practice Address - Fax:724-772-4644
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2023-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PATP005441B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P61931Medicare UPIN