Individual
MARJORIE AGATHA ADAMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1202 STATE ST, ERIE, PA 16501-1914
(814) 454-4530
(814) 456-2375
Mailing address
PO BOX 369, ERIE, PA 16512-0369
(814) 454-4530
(814) 456-2375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP000431B
PA
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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