Individual
ERIN MARIE MANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 404, UPLAND, PA 19013-3955
(610) 619-8590
(610) 619-8591
Mailing address
30 MEDICAL CENTER BLVD, SUITE 404, UPLAND, PA 19013
(610) 619-8590
(610) 619-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010743
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP010743
STATE BOARD OF NURSING LICENSE NUMBER
PA
Enumeration date
03/11/2010
Last updated
04/04/2014
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