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Contact Information

JACQUELINE L DESTRO, C.R.N.P.
221 PENN AVE
WILKINSBURG, PA15221-2118
 Phone: 412-865-6589
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACQUELINE L DESTRO · (Female)

NPI Number 1164568465
Status Active
Credentials C.R.N.P.
Entity Individual
Enumeration date 01/30/2007
Last updated 07/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # UP001881D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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