Individual
DEBRA FAUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ERPG CRNA SERVICES, 763 JOHNSONBURG ROAD, ST. MARYS, PA 15857
(814) 788-8569
(814) 788-8092
Mailing address
11 HIGHWOOD LN, BRADFORD, PA 16701-2459
(814) 362-0103
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN340462L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053130
CRNA CERTIFICATE
PA
Enumeration date
02/14/2006
Last updated
07/08/2007
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