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Individual

ANN M GRIESACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3250 W. LAKE RD, SUITE 1, ERIE, PA 16505-3691
(814) 454-1085
(814) 240-3976
Mailing address
3250 W. LAKE RD, SUITE 1, ERIE, PA 16505-3691
(814) 790-4567
(814) 295-4074

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP011370
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP011370
PA

Other

Enumeration date
05/17/2011
Last updated
01/24/2023
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