Provider Demographics
NPI:1023794567
Name:GREENE, HEIDI (PA-C)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:GREENE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3230 ARAPAHOE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1137
Mailing Address - Country:US
Mailing Address - Phone:412-477-4208
Mailing Address - Fax:
Practice Address - Street 1:1307 FEDERAL ST STE 301
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4769
Practice Address - Country:US
Practice Address - Phone:412-359-4644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2024-02-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant