Individual
MRS. ELLEN ARLENE WIECZOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1158 W 30TH ST, ERIE, PA 16508-1540
(814) 866-1380
Mailing address
1158 W 30TH ST, ERIE, PA 16508-1540
(814) 866-1380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN312638L
PA
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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