Provider Demographics
NPI:1245707389
Name:PIFFERETTI, MIRANDA LYNN (NP-C)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:LYNN
Last Name:PIFFERETTI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 TROUTTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HUNKER
Mailing Address - State:PA
Mailing Address - Zip Code:15639-1288
Mailing Address - Country:US
Mailing Address - Phone:724-205-3742
Mailing Address - Fax:
Practice Address - Street 1:750 HOLIDAY DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2783
Practice Address - Country:US
Practice Address - Phone:412-328-8260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-26
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019677207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine