Provider Demographics
NPI:1689810178
Name:LEVRI, ANNE T (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:T
Last Name:LEVRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12120 STATE ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-1840
Mailing Address - Country:US
Mailing Address - Phone:724-863-4362
Mailing Address - Fax:724-863-6024
Practice Address - Street 1:12120 STATE ROUTE 30
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-1840
Practice Address - Country:US
Practice Address - Phone:724-863-4362
Practice Address - Fax:724-863-6024
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066173L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA002443Medicare PIN
G61404Medicare UPIN