MATTHEW THOMAS LAVELLE CRNP NPI 1043678436

NPI Information

NPI: 1043678436
Provider Name: MATTHEW THOMAS LAVELLE, CRNP
Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: ALLEGHENY CLINIC

PECOS Registration: Yes

Address:
4727 FRIENDSHIP AVE STE 200
PITTSBURGH, PA
ZIP 15224
Phone: (412) 235-5810
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Matthew Thomas Lavelle, CRNP is a gerontology clinical nurse specialist in Pittsburgh, PA with 9 years of experience. Matthew Thomas Lavelle, CRNP NPI is 1043678436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4727 FRIENDSHIP AVE STE 200
PITTSBURGH, PA
ZIP 15224-778
Phone: (412) 235-5810
Fax: (412) 235-5890

The NPI 1043678436 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 10/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	SPO15635	PENNSYLVANIA	No
2	364SA2200X	Clinical Nurse Specialist	Adult Health	SPO15635	PENNSYLVANIA	No
3	364SG0600X	Clinical Nurse Specialist	Gerontology	SPO15635	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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