Individual
KELLY LAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1020 CENTER AVE, PITTSBURGH, PA 15229-1724
(412) 931-3066
(412) 939-9965
Mailing address
8150 PERRY HWY STE 201, PITTSBURGH, PA 15237-5200
(412) 369-9550
(412) 369-9566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013124
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103681320-0001
—
PA
Enumeration date
10/15/2013
Last updated
02/13/2023
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