Individual
NICHOLAUS PIERCE CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2199
(814) 723-4973
Mailing address
134 ECKSTEIN LN, HARMONY, PA 16037-8826
(814) 207-1128
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA005790
PA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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