Provider Demographics
NPI:1831304153
Name:DIBARRY, ANN LOUISE (APRN,BC)
Entity Type:Individual
Prefix:MRS
First Name:ANN LOUISE
Middle Name:
Last Name:DIBARRY
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 TIMBERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-3000
Mailing Address - Country:US
Mailing Address - Phone:412-487-4331
Mailing Address - Fax:412-383-3177
Practice Address - Street 1:3520 5TH AVE
Practice Address - Street 2:SUITE 1, LL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3320
Practice Address - Country:US
Practice Address - Phone:412-383-3179
Practice Address - Fax:412-383-3177
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN204461L364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health