Individual
EMILY QUAILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0001
(814) 877-2938
Mailing address
416 GROVE AVE, EMLENTON, PA 16373-9740
(724) 996-2935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN672695
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN672695
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN672695
PA RN LICENSE
PA
Enumeration date
02/14/2023
Last updated
06/13/2024
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