Organization
VA PITTSBURGH HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANECIA THIBODEAU R.N. (MEDICAL-SURGICAL CNS)
(412) 688-6648
Entity
Organization
Contact information
Practice address
UNIVERSITY DR C, PITTSBURGH, PA 15240
(412) 688-6000
Mailing address
1153 OLD FARM RD, LAWRENCE, PA 15055-1028
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RN527400L
PA
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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