MEDICARE: MS. VIRGINIA H CORCOS CRNP

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	363LF0000X	Family Nurse Practitioner	SP007408	PA

General Provider Information

NPI Number	:	1316294523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIRGINIA H CORCOS CRNP

Provider Business Mailing Address
First Line	:	341 BELLEFIELD AVE.
Second Line	:	PITTSBURGH SCHOOL DISTRICT RM 430
City	:	PITTSBURGH
State	:	PA
Zip	:	15213
Country	:	US
Telephone Number	:	412-622-3940
Fax Number	:

Provider Business Practice Location Address
First Line	:	341 S BELLEFIELD AVE
Second Line	:	ROOM 430
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3552
Country	:	US
Telephone Number	:	412-622-3940
Fax Number	:

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

Provider Enumeration Date	:	08/07/2012
Last Update Date	:	08/07/2012

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