Individual
THERESE CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 STATE STREET, SUITE 400A, ERIE, PA 16507-1450
(814) 877-6997
Mailing address
300 STATE ST STE 400A, ERIE, PA 16507-1478
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011206
PA
Other
Enumeration date
04/06/2011
Last updated
02/07/2023
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