Individual
MISS AMY-ANN ELIZABETH ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
644 E 14TH ST, ERIE, PA 16503-1348
(814) 746-7827
Mailing address
644 E 14TH ST, ERIE, PA 16503-1348
(814) 746-7827
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN261393L
PA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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