Provider Demographics
NPI:1770706277
Name:BODURA, BARBARA ANN (MSN, CRNP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:BODURA
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Gender:F
Credentials:MSN, CRNP
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Mailing Address - Street 1:110 HIDDEN VALLEY ROAD
Mailing Address - Street 2:PSYCHIATRIC CARE SYSTEMS
Mailing Address - City:MCMURRARY
Mailing Address - State:PA
Mailing Address - Zip Code:15317
Mailing Address - Country:US
Mailing Address - Phone:727-941-4070
Mailing Address - Fax:724-941-5083
Practice Address - Street 1:3501 FORBES AVE
Practice Address - Street 2:SUITE 900
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3317
Practice Address - Country:US
Practice Address - Phone:412-246-5069
Practice Address - Fax:412-246-5858
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2009-10-08
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Provider Licenses
StateLicense IDTaxonomies
PAUP005764L363LA2200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health