Provider Demographics
NPI:1689471922
Name:PUST, NATALIE RAYE (CPHT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:RAYE
Last Name:PUST
Suffix:
Gender:
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 CEDAR BLVD APT A
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1055
Mailing Address - Country:US
Mailing Address - Phone:412-956-5414
Mailing Address - Fax:
Practice Address - Street 1:1335 CEDAR BLVD APT A
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1055
Practice Address - Country:US
Practice Address - Phone:412-956-5414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30227515183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician