Individual
MRS. SHANNON R FOLGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNA
Contact information
Practice address
201 STATE ST, ERIE, PA 16550
(814) 450-0776
Mailing address
510 BOYER RD, ERIE, PA 16511-2506
(814) 450-0776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
649819
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
649819
PA
Other
Enumeration date
05/16/2018
Last updated
04/04/2019
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