Provider Demographics
NPI:1750923629
Name:CONLOGUE, JUDITH ROSE (RN)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:ROSE
Last Name:CONLOGUE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 FORBES AVENUE
Mailing Address - Street 2:7TH FLOOR, ROOM 755
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-246-5882
Mailing Address - Fax:
Practice Address - Street 1:3501 FORBES AVENUE
Practice Address - Street 2:7TH FLOOR, ROOM 755
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-246-5882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-12
Last Update Date:2019-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN674492163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health