Individual
ALISON WOKULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3250 W LAKE RD, ERIE, PA 16505-3691
(814) 790-4567
Mailing address
1538 CRONIN RD, WATERFORD, PA 16441-2908
(814) 490-1181
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024939
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP024939
STATE LICENSURE
PA
Enumeration date
11/25/2021
Last updated
11/25/2021
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