Healthcare Provider Details

I. General information

NPI: 1902069180
Provider Name (Legal Business Name): LEAH MARIE KIRSCH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH MARIE ABRAHAM CRNP

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1142 NATIONAL PIKE
HOPWOOD PA
15445-2250
US

IV. Provider business mailing address

1142 NATIONAL PIKE
HOPWOOD PA
15445-2250
US

V. Phone/Fax

Practice location:
  • Phone: 724-437-2147
  • Fax: 724-438-8856
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP009833
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberSP009833
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: