Provider Demographics
NPI:1174996912
Name:GAUDEN, AUBREE ANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:AUBREE
Middle Name:ANN
Last Name:GAUDEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:AUBREE
Other - Middle Name:ANN
Other - Last Name:PETRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:990 HIGBEE DR STE B-104
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2989
Mailing Address - Country:US
Mailing Address - Phone:412-854-7924
Mailing Address - Fax:412-854-7926
Practice Address - Street 1:1645 ROSTRAVER RD STE 202
Practice Address - Street 2:
Practice Address - City:ROSTRAVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15012-9655
Practice Address - Country:US
Practice Address - Phone:724-929-2260
Practice Address - Fax:724-929-3474
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103073415Medicaid