MICHELLE FORMAN FANTASKI

PITTSBURGH, PA
NPI1164469128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  RN295905L)
Enumeration Date2006-05-31
Last Update Date2020-10-07
Business Address
MICHELLE FORMAN FANTASKI CRNA
320 E NORTH AVE
PITTSBURGH, PA 15212-4756
Phone number: 412-359-6581
Mailing Address
MICHELLE FORMAN FANTASKI CRNA
320 E NORTH AVE
PITTSBURGH, PA 15212-4756
Phone number: 412-359-6581
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