Healthcare Provider Details

I. General information

NPI: 1609868462
Provider Name (Legal Business Name): BARBARA LAVERGHETTA C.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 09/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROBINSON ST
POTTSTOWN PA
19464-6439
US

IV. Provider business mailing address

122 PEMBROKE CT
EXTON PA
19341-2907
US

V. Phone/Fax

Practice location:
  • Phone: 610-326-9460
  • Fax: 610-326-2432
Mailing address:
  • Phone: 610-524-5384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTP 006093B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: