Individual
MARY W MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1910 SASSAFRAS ST, SUITE 100, ERIE, PA 16502-2716
(814) 452-5555
(814) 452-7610
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5036
(814) 860-5050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009802
PA
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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