Provider Demographics
NPI:1932688371
Name:NOSENCHUCK, CLARE (CRNP)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:NOSENCHUCK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:MARIE
Other - Last Name:TILLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:813 ROLLING ROCK RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-2512
Mailing Address - Country:US
Mailing Address - Phone:304-669-5673
Mailing Address - Fax:
Practice Address - Street 1:275 CLAIRTON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1426
Practice Address - Country:US
Practice Address - Phone:412-653-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily