Basic Information
Provider Information
NPI: 1942633508
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MACHAJEWSKI
FirstName: VALERIE
MiddleName: LOBER
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1910 COCHRAN RD
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152201203
CountryCode: US
TelephoneNumber: 4125312902
FaxNumber: 4125312948
Practice Location
Address1: 2027 LEBANON CHURCH RD
Address2: CENTURY III MEDICAL ASSOCIATES
City: PITTSBURGH
State: PA
PostalCode: 151222461
CountryCode: US
TelephoneNumber: 4126558650
FaxNumber: 4126556400
Other Information
ProviderEnumerationDate: 08/18/2013
LastUpdateDate: 03/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XSP013036PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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