Provider Demographics
NPI:1538579859
Name:COMPOMIZZI, MARY ANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:MARY ANN
Middle Name:
Last Name:COMPOMIZZI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:312 VERI DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2721
Mailing Address - Country:US
Mailing Address - Phone:412-719-9117
Mailing Address - Fax:412-641-5359
Practice Address - Street 1:300 HALKET ST
Practice Address - Street 2:UPMC MAGEE - NICU
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3108
Practice Address - Country:US
Practice Address - Phone:412-641-4420
Practice Address - Fax:412-641-5359
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAVP002300J363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care