Provider Demographics
NPI:1437435773
Name:MENNOW, RONALD ALAN JR (CRNP)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:ALAN
Last Name:MENNOW
Suffix:JR
Gender:M
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:44 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2768
Mailing Address - Country:US
Mailing Address - Phone:724-689-1355
Mailing Address - Fax:724-689-0544
Practice Address - Street 1:44 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2768
Practice Address - Country:US
Practice Address - Phone:724-689-1355
Practice Address - Fax:724-689-0544
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP011672363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care