Provider Demographics
NPI:1831554377
Name:ERRICO, LIANE MARIE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LIANE
Middle Name:MARIE
Last Name:ERRICO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LIANE
Other - Middle Name:MARIE
Other - Last Name:BORUCKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 HALKET ST STE 1700
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3108
Mailing Address - Country:US
Mailing Address - Phone:412-354-3906
Mailing Address - Fax:
Practice Address - Street 1:300 HALKET ST STE 1700
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3108
Practice Address - Country:US
Practice Address - Phone:412-354-3906
Practice Address - Fax:412-641-8418
Is Sole Proprietor?:No
Enumeration Date:2015-12-29
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015585363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily