Provider Demographics
NPI:1558363796
Name:KIRSCH, JOSEPHINE M (CRNP)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:M
Last Name:KIRSCH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 ASHBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-4354
Mailing Address - Country:US
Mailing Address - Phone:814-472-6273
Mailing Address - Fax:
Practice Address - Street 1:412 ASHBROOK CIR
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4354
Practice Address - Country:US
Practice Address - Phone:814-472-6273
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP000031F363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA551856Medicare UPIN