Individual provider · Type 1 NPI

Avery Degruttola

Nurse Practitioner · Monroeville, PA

NPI number 1538036926 Active

Practice location

2626 Haymaker Rd Fl 2
Monroeville, PA 15146-3516

Mailing address

604 Regina Dr
Elizabeth, PA 15037-1036

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP034216 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1538036926

Avery Degruttola's National Provider Identifier is 1538036926, issued on Oct 20, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Monroeville, PA. The record was last updated on Nov 4, 2025.