Roberta Alston, CRNP
Individual provider Active NPI Nurse Practitioner · Wilkinsburg, PA
NPI 1205070554 · NPPES record last updated Apr 29, 2009
Key facts
- NPI
- 1205070554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP010226 (PA)
- Practice address
- 224 Penn Ave Ste B1
Wilkinsburg, PA 15221-2154 - Phone
- (412) 241-1111
- Fax
- (412) 242-9243
- NPI assigned
- Apr 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP010226 | PA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP010226 | PA | Yes |
Addresses
Primary practice location
224 Penn Ave Ste B1
Wilkinsburg, PA 15221-2154
Mailing address
224 Penn Ave Ste B1
Wilkinsburg, PA 15221-2154
Phone (412) 241-1111
Other providers in Wilkinsburg, PA
- A.S.Harper, P.C.
- Seth Abrams
- William E Adams
- Adonai Behavioral Health, LLC
- Allegheny Medical Practice Network
- Samuel S Amoni
- Stephen Ross Bailey
- Kathie Teresa Barranger
- Jodi Bell
- Brittani Berkeley
All providers in Wilkinsburg, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.