MEDICARE: CHILDREN'S HOSPITAL OF PITTSBURGH

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	282NC2000X	Children's Hospital	SPO11848	PA

General Provider Information

NPI Number	:	1013359041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S HOSPITAL OF PITTSBURGH

Provider Business Mailing Address
First Line	:	5607 ELMER ST
Second Line	:	105
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-2421
Country	:	US
Telephone Number	:	814-341-2478
Fax Number	:

Provider Business Practice Location Address
First Line	:	5607 ELMER ST
Second Line	:	105
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-2421
Country	:	US
Telephone Number	:	814-341-2478
Fax Number	:

Authorized Official
Title or Position	:	CRNP
Name	:	MS. JENNIFER L BURKEY
Credential	:	CRNP
Telephone Number	:	412-864-9459

Provider Enumeration Date	:	07/18/2013
Last Update Date	:	07/18/2013

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Directions to “CHILDREN'S HOSPITAL OF PITTSBURGH ” Practice Location

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