Provider Demographics
NPI:1588642961
Name:HIRSCH, MARIE A (RN, CRNP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:A
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6831 REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2615
Mailing Address - Country:US
Mailing Address - Phone:412-362-1547
Mailing Address - Fax:
Practice Address - Street 1:UPMC SHADYSIDE SCHOOL OF NURSING
Practice Address - Street 2:5900 BAUM BLVD
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3808
Practice Address - Country:US
Practice Address - Phone:412-623-1670
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008535363LF0000X
CT001343363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTS99548Medicare UPIN