Individual
SARAH ANN PATSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3413 CHERRY ST, ERIE, PA 16508-2678
(814) 868-9828
Mailing address
3413 CHERRY ST, ERIE, PA 16508-2678
(814) 868-9828
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060429
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA060429
MEDICAL PHYSICIAN ASSISTANT LICENSE NUMBER
PA
Enumeration date
01/02/2019
Last updated
10/07/2020
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