Provider Demographics
NPI:1770468175
Name:EDDY, HOPE MARIE (AGNP-C)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:MARIE
Last Name:EDDY
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15370-2533
Mailing Address - Country:US
Mailing Address - Phone:724-833-5272
Mailing Address - Fax:724-833-5272
Practice Address - Street 1:1368 MALL RUN RD STE 624
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-7512
Practice Address - Country:US
Practice Address - Phone:724-439-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP033538363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology