Healthcare Provider Details

I. General information

NPI: 1407968373
Provider Name (Legal Business Name): ROSEMARIE CUDDY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE C VA PITTSBURGE HEALTHCARE
PITTSBURGH PA
15240
US

IV. Provider business mailing address

935 RUTH ST
PITTSBURGH PA
15243-1157
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberUP001070C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: