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Matthew Thomas Lavelle, CRNP

Clinical Nurse Specialist, Gerontology in Pittsburgh, PA. Individual provider (NPI-1).

NPI number1043678436
StatusActive
Last updated in NPPESMar 8, 2024

Details

NPI
1043678436
Entity type
Individual (NPI-1)
Name
Matthew Thomas Lavelle
Credential
CRNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 1, 2016
Certification date
Mar 8, 2024
Last updated
Mar 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SG0600X Clinical Nurse Specialist, Gerontologyspo15635PAYes
363LA2100X Nurse Practitioner, Acute Carespo15635PA
364SA2200X Clinical Nurse Specialist, Adult Healthspo15635PA

Practice location

4815 Liberty Ave Ste Gr10
Pittsburgh, PA 15224-2156

Phone 412-235-5874 · Fax 412-235-5877

Mailing address

4815 Liberty Ave Ste Gr10
Pittsburgh, PA 15224-2156

Phone 412-235-5874 · Fax 412-235-5877

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