Healthcare Provider Details

I. General information

NPI: 1942633508
Provider Name (Legal Business Name): VALERIE LOBER MACHAJEWSKI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2013
Last Update Date: 03/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 LEBANON CHURCH RD CENTURY III MEDICAL ASSOCIATES
PITTSBURGH PA
15122-2461
US

IV. Provider business mailing address

1910 COCHRAN RD
PITTSBURGH PA
15220-1203
US

V. Phone/Fax

Practice location:
  • Phone: 412-655-8650
  • Fax: 412-655-6400
Mailing address:
  • Phone: 412-531-2902
  • Fax: 412-531-2948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP013036
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: