Provider Demographics
NPI:1831592146
Name:CORRIDON, ALLISON (CRNP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CORRIDON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PENN CTR W
Mailing Address - Street 2:SUITE 127
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15276-0103
Mailing Address - Country:US
Mailing Address - Phone:412-788-8007
Mailing Address - Fax:412-788-0250
Practice Address - Street 1:5200 CENTRE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1300
Practice Address - Country:US
Practice Address - Phone:412-578-9747
Practice Address - Fax:412-578-9791
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013993363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care