NPI 1063056448 · live from the CMS NPI Registry
5 Star Journey PLLC
Nurse Practitioner, Primary Care in Mc Kees Rocks, PA. National Provider Identifier 1063056448, active.
NPI record
| NPI | 1063056448 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 6091 Steubenville Pike Ste 7b, Mc Kees Rocks, PA 15136 |
| Practice phone | 812-567-3672 |
| Mailing address | 5091 Earlsdale Rd, Pittsburgh, PA 15234 |
| Enumerated | October 29, 2019 |
| Last updated | October 29, 2019 |
| Authorized official | Penny Altman, Owner |
| Other names | 5 Star Journey |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | — |
| Nurse Practitioner, Primary Care primary | 363LP2300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.