Provider Demographics
NPI:1962674952
Name:BARON MYAK, CAROLINE ROSE (RN,BSN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:ROSE
Last Name:BARON MYAK
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 FORBES AVE
Mailing Address - Street 2:OXFORD BUILDING ADDICTION MEDICINE SERVICES ROOM 942
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-586-9059
Mailing Address - Fax:412-246-5858
Practice Address - Street 1:3501 FORBES AVE
Practice Address - Street 2:OXFORD BUILDING ADDICTION MEDICINE SERVICES ROOM 942
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-586-9059
Practice Address - Fax:412-246-5858
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN334439L163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health