Provider Demographics
NPI:1144987009
Name:GAUDLIP, ALICIA M (PMHNP)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:M
Last Name:GAUDLIP
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:814-846-5060
Mailing Address - Fax:814-846-5070
Practice Address - Street 1:152 ZEMAN DR STE 301
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4130
Practice Address - Country:US
Practice Address - Phone:814-846-5060
Practice Address - Fax:814-846-5070
Is Sole Proprietor?:No
Enumeration Date:2021-11-26
Last Update Date:2025-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP024938363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health