| Doctor Name: | DAVID R NEVARRE |
| NPI Number: | 1043373483 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | MA002508L |
| Business Practice Address: | 415 Napoleon Pl Johnstown, PA - 159012504 |
| Business Phone Number: | 8145369000 |
| Business Fax Number: | |
| Mailing Address: | 101 Nevarre St, SUMMERHILL |
| State: | PA |
| Postal Code: | 159583308 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | MA002508L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |