Provider Demographics
NPI:1184765596
Name:MCILNAY, VICTORIA A (CRNP)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:A
Last Name:MCILNAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:520 JEFFERSON AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-2538
Mailing Address - Country:US
Mailing Address - Phone:724-689-1353
Mailing Address - Fax:724-689-0542
Practice Address - Street 1:530 SOUTH ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2775
Practice Address - Country:US
Practice Address - Phone:724-689-1353
Practice Address - Fax:724-689-0542
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2016-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAUP005955W363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAUP005955WOtherCRNP LICENSE
PA142791Medicare PIN