Individual
ERICA COLLEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1516 9TH AVE, ALTOONA, PA 16602-2417
(814) 889-4100
Mailing address
PO BOX 101, WARRIORS MARK, PA 16877-0101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024071
PA
Other
Enumeration date
09/15/2021
Last updated
02/13/2026
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