Individual
COURTNEY MICHELLE KRAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2315 MYRTLE ST STE L90, ERIE, PA 16502-4607
(814) 737-0407
Mailing address
4838 THOROUGHBRED LOOP, ERIE, PA 16506-6606
(814) 823-4228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA005708
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15173345
CAQH
—
Enumeration date
06/22/2021
Last updated
10/21/2021
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