Provider Demographics
NPI:1962263426
Name:PITTSBURGH BIRTH NERD LLC
Entity type:Organization
Organization Name:PITTSBURGH BIRTH NERD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:C
Authorized Official - Last Name:STAROSTA
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:724-678-6958
Mailing Address - Street 1:318 LOWGAR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-1118
Mailing Address - Country:US
Mailing Address - Phone:724-678-6958
Mailing Address - Fax:
Practice Address - Street 1:318 LOWGAR DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-1118
Practice Address - Country:US
Practice Address - Phone:724-678-6958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty