Provider Demographics
NPI:1871567040
Name:WILL, NANCY J (CRNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:WILL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:GAGORIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:12 SUBURBAN AVE
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-1440
Mailing Address - Country:US
Mailing Address - Phone:412-427-6975
Mailing Address - Fax:
Practice Address - Street 1:4284 WILLIAM FLYNN HWY
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1439
Practice Address - Country:US
Practice Address - Phone:412-486-8677
Practice Address - Fax:412-486-8415
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007194207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP75969Medicare UPIN
PA065527R7RMedicare PIN