Individual
TALIA LAGRAVINESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-1510
(484) 565-1513
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP031454
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP031454
PA
Other
Enumeration date
04/14/2025
Last updated
09/03/2025
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