Individual
MRS. LAURA JANE MERRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P
Contact information
Practice address
4402 PEACH ST., SUITE 302, ERIE, PA 16509
(814) 866-2010
Mailing address
4402 PEACH ST., SUITE 302, ERIE, PA 16509
(814) 866-2010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN334080L
PA
363L00000X
Nurse Practitioner
SP002262G
PA
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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