Provider Demographics
NPI:1891031738
Name:GASS, REBECCA (CRNP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GASS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 LOGANS FERRY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-2048
Mailing Address - Country:US
Mailing Address - Phone:724-994-4740
Mailing Address - Fax:724-924-4745
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-3737
Practice Address - Fax:412-442-2126
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2021-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP007285363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner