Healthcare Provider Details

I. General information

NPI: 1356481154
Provider Name (Legal Business Name): REBECCA ANN KRONK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 5TH AVE CHILDREN'S HOSPITAL OF PITTSBURGH
PITTSBURGH PA
15213-2584
US

IV. Provider business mailing address

2403 HELEN ST
MC KEES ROCKS PA
15136-1383
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-7027
  • Fax: 412-692-5679
Mailing address:
  • Phone: 412-787-5640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN224719L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberSP005699D
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: