Provider Demographics
NPI:1174802102
Name:ALWAY, SANDRA V (CRNP)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:V
Last Name:ALWAY
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 1:9335 MCKNIGHT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5903
Mailing Address - Country:US
Mailing Address - Phone:412-578-5588
Mailing Address - Fax:412-605-6544
Practice Address - Street 1:9335 MCKNIGHT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5903
Practice Address - Country:US
Practice Address - Phone:412-578-5588
Practice Address - Fax:412-605-6544
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001848G363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103169928Medicaid