Provider Demographics
NPI:1790204295
Name:REED, CATHY (CRNP)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:A
Other - Last Name:ROSCOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2841 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2129
Mailing Address - Country:US
Mailing Address - Phone:412-400-4070
Mailing Address - Fax:
Practice Address - Street 1:8305 MCKNIGHT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-366-8324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2017-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017830363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner