Individual
AMY J BAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
965 SHAMROCK LN, CORRY, PA 16407-1196
(814) 665-8288
(814) 664-8618
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2529
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN626746
PA
363LF0000X
Family Nurse Practitioner
Primary
SP026346
PA
Other
Enumeration date
09/26/2022
Last updated
10/31/2024
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