ANDROMEDA FAIR

ERIE, PA
NPI1326401761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP027602)
Additional Taxonomies163W00000X Registered Nurse
(Licence: PA  RN642005)
163W00000X Registered Nurse
(Licence: OH  RN.382551)
363LW0102X Nurse Practitioner, Women's Health
(Licence: PA  SP016598)
Enumeration Date2016-04-02
Last Update Date2024-08-28
Business Address
ANDROMEDA FAIR CRNP
3330 PEACH ST STE 106
ERIE, PA 16508-2771
Phone number: 814-877-8586
Mailing Address
ANDROMEDA FAIR CRNP
3330 PEACH ST STE 106
ERIE, PA 16508-2771
Phone number: 814-877-8586