Provider Demographics
NPI:1871962654
Name:MERTIFF, EMILY BETH (CRNP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:BETH
Last Name:MERTIFF
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:BETH
Other - Last Name:SABER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:1910 COCHRAN RD # MANOR2
Mailing Address - Street 2:SUITE 490
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1203
Mailing Address - Country:US
Mailing Address - Phone:412-531-2902
Mailing Address - Fax:412-531-2948
Practice Address - Street 1:1050 BOWER HILL ROAD
Practice Address - Street 2:SUITE 202
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243
Practice Address - Country:US
Practice Address - Phone:412-572-6122
Practice Address - Fax:412-561-0318
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015240363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA440728JFZOtherMEDICARE PROVIDER NUMBER