Individual
MADISON K STREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0001
(814) 877-6000
Mailing address
201 STATE ST, ERIE, PA 16550-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN744490
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN744490
PA RN LICENSE
PA
Enumeration date
10/24/2024
Last updated
10/28/2024
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