Basic Information
Provider Information
NPI: 1730329939
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRUBAKER
FirstName: LAURA
MiddleName: HERSHEY
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HERSHEY
OtherFirstName: LAURA
OtherMiddleName: BETH
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 3600 FORBES AVENUE
Address2: FORBES TOWER-PLAZA LEVEL SUITE 140
City: PITTSBURGH
State: PA
PostalCode: 15213
CountryCode: US
TelephoneNumber: 8002431455
FaxNumber:  
Practice Location
Address1: MAGEE-WOMENS HOSPITAL OF UPMC, CHELSEA BROOKS
Address2: 300 HALKER STREET, DEPT OF OB-GYN/RS, SUITE 0610
City: PITTSBURGH
State: PA
PostalCode: 15213
CountryCode: US
TelephoneNumber: 4126415403
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/27/2009
LastUpdateDate: 07/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC1500XRN553941PAN Nursing Service ProvidersRegistered NurseCommunity Health
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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