Provider Demographics
NPI: | 1053394882 |
---|---|
Name: | DADO, LORI L (CRNP) |
Entity type: | Individual |
Prefix: | |
First Name: | LORI |
Middle Name: | L |
Last Name: | DADO |
Suffix: | |
Gender: | F |
Credentials: | CRNP |
Other - Prefix: | |
Other - First Name: | LORI |
Other - Middle Name: | L |
Other - Last Name: | RITCHIE |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | CRNP |
Mailing Address - Street 1: | 411 JENNY LN |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW CASTLE |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 16101-5559 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 724-944-6477 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 411 JENNY LN |
Practice Address - Street 2: | |
Practice Address - City: | NEW CASTLE |
Practice Address - State: | PA |
Practice Address - Zip Code: | 16101-5559 |
Practice Address - Country: | US |
Practice Address - Phone: | 724-944-6477 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-11-25 |
Last Update Date: | 2023-03-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | RN275986L | 163W00000X |
PA | SP024211 | 363LP0808X |
PA | SP005499B | 363LF0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No | 163W00000X | Nursing Service Providers | Registered Nurse | |
No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |