Individual ProviderChristopher John HudackNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4727 Friendship Ave Ste 200, Pittsburgh, PA 15224-1778(412) 235-5810(412) 820-9719PECOS EnrollmentBased on the most recent information from CMS, provider Christopher John Hudack does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1689726721Provider TypeIndividualFull NameHudack, Christopher JohnCredentialCRNPGenderMaleSole ProprietorNoEnumeration Date1/17/2007Last Updated7/21/2022Contact InformationPractice LocationPractice Address4727 Friendship Ave Ste 200, Pittsburgh, PA 15224-1778Phone(412) 235-5810Fax(412) 235-5890Mailing LocationMailing Address303 Pennsylvania Ave, Oakmont, PA 15139Phone(412) 820-9719FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseTP005008BPennsylvaniaProvider IdentifiersIDDescriptionIssuerID1028545260002DescriptionMedicaidIssuerUnlistedPennsylvaniaID1028545260001DescriptionMedicaidIssuerUnlistedPennsylvania