Provider Demographics
NPI:1457531139
Name:PETERNEL, JANET (CRNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:PETERNEL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:TOTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:501 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3208
Mailing Address - Country:US
Mailing Address - Phone:412-442-2343
Mailing Address - Fax:412-325-2536
Practice Address - Street 1:501 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3208
Practice Address - Country:US
Practice Address - Phone:412-442-2343
Practice Address - Fax:412-325-2536
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP002245M363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103577153Medicaid
14366998OtherCAQH