Provider Demographics
NPI:1831471424
Name:MARCISCHAK, TERRI LYNN (APRN-BC, DNP)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:LYNN
Last Name:MARCISCHAK
Suffix:
Gender:F
Credentials:APRN-BC, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 BEAVER AVE.
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15233
Mailing Address - Country:US
Mailing Address - Phone:800-863-1563
Mailing Address - Fax:412-321-2234
Practice Address - Street 1:1301 BEAVER AVE.
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233
Practice Address - Country:US
Practice Address - Phone:800-863-1563
Practice Address - Fax:412-321-2234
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV58777163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse