MEDICARE: RACHEL SHORT 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	SP010780	PA
2	363LS0200X	School Nurse Practitioner	SP010780	PA
3	363LF0000X	Family Nurse Practitioner	651993	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	69431	OTHER	CA	PHN
2	17103	OTHER	CA	NP

General Provider Information

NPI Number	:	1598972408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL SHORT CRNP

Provider Business Mailing Address
First Line	:	817 S TRENTON AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-3451
Country	:	US
Telephone Number	:	412-818-0595
Fax Number	:	412-224-6342

Provider Business Practice Location Address
First Line	:	341 S BELLEFIELD AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3552
Country	:	US
Telephone Number	:	412-529-6714
Fax Number	:

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	02/17/2026

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