Provider Demographics
NPI:1447604400
Name:LOVETTE, AVI (CRNP-FAMILY)
Entity Type:Individual
Prefix:
First Name:AVI
Middle Name:
Last Name:LOVETTE
Suffix:
Gender:F
Credentials:CRNP-FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 BYTHAM CT
Mailing Address - Street 2:UNIT 302
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-5762
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2406 BYTHAM CT
Practice Address - Street 2:UNIT 302
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-5762
Practice Address - Country:US
Practice Address - Phone:443-844-1609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR160227363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily