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 |