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Individual

MICHELE URICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063-1095
(724) 258-1000
(724) 258-1394
Mailing address
1163 COUNTRY CLUB ROAD, MONONGAHELA, PA 15063-1095
(724) 258-1000
(724) 258-1394

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN185804L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00008519
PALMETT GBA
01
UR886772
BLUE SHIELD
PA
Enumeration date
02/03/2006
Last updated
07/31/2008
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