Provider Demographics
NPI:1689005217
Name:BURFORD, GEROME A (CRNP)
Entity Type:Individual
Prefix:
First Name:GEROME
Middle Name:A
Last Name:BURFORD
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 OLIVER AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-1425
Mailing Address - Country:US
Mailing Address - Phone:412-303-1819
Mailing Address - Fax:
Practice Address - Street 1:191 SCHARBERRY LN
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-2429
Practice Address - Country:US
Practice Address - Phone:724-776-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-08
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA591526163W00000X
PASP022026363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse