MEDICARE: KIMBERLY ANN BEARDSLEY

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	367500000X	Certified Registered Nurse Anesthetist	157211	PA
2	163W00000X	Registered Nurse	RN725172	PA

General Provider Information

NPI Number	:	1043924558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN BEARDSLEY

Provider Business Mailing Address
First Line	:	439 CRAWFORD RUN RD
Second Line	:
City	:	CHESWICK
State	:	PA
Zip	:	15024-2411
Country	:	US
Telephone Number	:	412-818-7172
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:	412-647-2345
Fax Number	:

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

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	01/12/2026

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Directions to “ KIMBERLY ANN BEARDSLEY ” Practice Location

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