Basic Information
| Provider Information | |||||||||
| NPI: | 1780742569 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WINDSOR | ||||||||
| FirstName: | BETH | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | CHILDREN'S HOSPITAL OF PGH 3705 FIFTH AVE | ||||||||
| Address2: | HEMATOLOGY FLOOR 4B | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152132583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126925055 | ||||||||
| FaxNumber: | 4126927580 | ||||||||
| Practice Location | |||||||||
| Address1: | CHILDREN'S HOSPITAL OF PGH 3705 FIFTH AVE | ||||||||
| Address2: | HEMATOLOGY FLOOR 4B | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152132583 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126925055 | ||||||||
| FaxNumber: | 4126927580 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | SP07844 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | MW0716526 | 01 | PA | DEA | OTHER |