Provider Demographics
NPI:1871183038
Name:SARTORE, ALYSSA MARIE (RN)
Entity Type:Individual
Prefix:MISS
First Name:ALYSSA
Middle Name:MARIE
Last Name:SARTORE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ALYSSA
Other - Middle Name:MARIE
Other - Last Name:HARWICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3021 VILLAWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-2810
Mailing Address - Country:US
Mailing Address - Phone:412-818-6192
Mailing Address - Fax:
Practice Address - Street 1:3500 VICTORIA STREET VICTORIA BUILDING 360A
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15261-0001
Practice Address - Country:US
Practice Address - Phone:412-624-4860
Practice Address - Fax:412-624-1508
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN670966163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARN670966OtherCOMMONWEALTH OF PA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS