Provider Demographics
NPI:1801859046
Name:SCHIRRA, BETSY LEE (CRNP)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:LEE
Last Name:SCHIRRA
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 1:1200 BROOKS LANG
Mailing Address - Street 2:SUITE 285
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3747
Mailing Address - Country:US
Mailing Address - Phone:412-469-6956
Mailing Address - Fax:412-469-3799
Practice Address - Street 1:1200 BROOKS LANG
Practice Address - Street 2:SUITE 285
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3747
Practice Address - Country:US
Practice Address - Phone:412-469-6956
Practice Address - Fax:412-469-3799
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP006432B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP28680Medicare UPIN