Individual
AVERY DEGRUTTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 HAYMAKER RD FL 2, MONROEVILLE, PA 15146-3516
(412) 373-4411
Mailing address
604 REGINA DR, ELIZABETH, PA 15037-1036
(412) 860-5079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP034216
PA
Other
Enumeration date
10/20/2025
Last updated
11/04/2025
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