MEDICARE: MRS. JUDY KAUFMANN 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	363L00000X	Nurse Practitioner	SP001532B	PA

General Provider Information

NPI Number	:	1538290739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDY KAUFMANN CRNP

Provider Business Mailing Address
First Line	:	615 WASHINGTON RD
Second Line	:	SUITE TL#4
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1901
Country	:	US
Telephone Number	:	412-343-1770
Fax Number	:	412-343-0596

Provider Business Practice Location Address
First Line	:	615 WASHINGTON RD
Second Line	:	SUITE TL#4
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1901
Country	:	US
Telephone Number	:	412-343-1770
Fax Number	:	412-343-0596

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

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