Individual
ANNA PRISHCHEPOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
204 W 26TH ST, ERIE, PA 16508-1806
(814) 864-4755
(814) 864-5430
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020019626
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2020019626
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD479612
PA
390200000X
Student in an Organized Health Care Education/Training Program
2020019626
MO
Other
Enumeration date
06/01/2017
Last updated
09/20/2023
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