Provider Demographics
NPI:1881469898
Name:DEPP, NINA TERESA (CRNP)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:TERESA
Last Name:DEPP
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 1:7102 DUMBARTON PL
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-3718
Mailing Address - Country:US
Mailing Address - Phone:412-600-9008
Mailing Address - Fax:
Practice Address - Street 1:5215 CENTRE AVE STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1303
Practice Address - Country:US
Practice Address - Phone:412-623-6200
Practice Address - Fax:412-623-6023
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP028421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily