Individual
MRS. JANET RUTH BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5401 PEACH ST, SUITE 3100, ERIE, PA 16509-2601
(814) 868-7830
(814) 868-2138
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN247525L
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP001528G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026524310002
—
PA
Enumeration date
04/13/2006
Last updated
08/07/2017
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