MEDICARE: JENNIFER LETZELTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP015227	PA

General Provider Information

NPI Number	:	1952771115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LETZELTER

Provider Business Mailing Address
First Line	:	200 DELAFIELD RD
Second Line	:	SUITE 2070
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3205
Country	:	US
Telephone Number	:	412-784-5119
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 DELAFIELD RD STE 2070
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3214
Country	:	US
Telephone Number	:	412-784-5119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2015
Last Update Date	:	10/31/2015

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Directions to “ JENNIFER LETZELTER ” Practice Location

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