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Audrey Marie Imhof

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4401 Penn Ave, Pittsburgh, PA 15224-1334

PECOS Enrollment

This provider is enrolled in PECOS as AUDREY IMHOF.

Based on the most recent information from CMS, provider Audrey Marie Imhof is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1942655022
Provider Type
Individual
Full Name
Imhof, Audrey Marie
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/26/2016
Last Updated
4/27/2016

Contact Information

Practice Location

4401 Penn Ave, Pittsburgh, PA 15224-1334

(412) 692-7371

Unlisted Fax

Mailing Location

103 Walnut Ln, West Sunbury, PA 16061-2631

(724) 355-7727

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP015589 Pennsylvania

Audrey Marie Imhof

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Leri, Meghan

Zadrozny, Kelsey Jergel

Aber, Amanda

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Dlugos, Julia Lynn

Hovanec, Patricia

Miller, Brittani Nicole

Allis, Ashlee Suzanne

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Harper, Kayla Marie