Provider Demographics
NPI:1275523128
Name:NAVAROLI, LATROY M (CRNP)
Entity Type:Individual
Prefix:
First Name:LATROY
Middle Name:M
Last Name:NAVAROLI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CRESCENT PARK
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-1550
Mailing Address - Country:US
Mailing Address - Phone:814-726-7120
Mailing Address - Fax:814-726-2594
Practice Address - Street 1:2 CRESCENT PARK
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-1550
Practice Address - Country:US
Practice Address - Phone:814-726-7120
Practice Address - Fax:814-726-2594
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005104B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily