Individual
ERICA A CARNAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3380
(717) 782-5716
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3380
(717) 782-5716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP014775
PA
363LA2100X
Acute Care Nurse Practitioner
SP014775
PA
363LF0000X
Family Nurse Practitioner
Primary
SP014775
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103001523
—
PA
Enumeration date
03/10/2015
Last updated
01/16/2021
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