Provider Demographics
NPI:1457382202
Name:ROSPORSKI, MARIA LOUISE (CRNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:LOUISE
Last Name:ROSPORSKI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:LOUISE
Other - Last Name:BIONDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:4727 FRIENDSHIP AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1778
Mailing Address - Country:US
Mailing Address - Phone:412-235-5885
Mailing Address - Fax:412-235-5886
Practice Address - Street 1:4727 FRIENDSHIP AVE STE 140
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1778
Practice Address - Country:US
Practice Address - Phone:412-235-5885
Practice Address - Fax:412-235-5886
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP003286C363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
S80823Medicare UPIN
PA027472Medicare ID - Type Unspecified