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Individual

SUSAN M ROCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2500 W 12TH ST, ERIE, PA 16505-4508
(814) 838-9000
Mailing address
2500 W 12TH ST, ERIE, PA 16505-4508
(814) 838-9000

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN224580L
PA
363L00000X
Nurse Practitioner
Primary
VP003651C
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002105227
HIGHMARK
PA
Enumeration date
02/05/2007
Last updated
03/03/2010
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