Individual
ELYSE KNOERDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 MEMORIAL DR, FARRELL, PA 16121-1357
(724) 981-3500
Mailing address
516 MIDWAY DR, BEAVER, PA 15009-1420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062035
PA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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