Individual
MATTHEW A DEPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1910 SASSAFRAS ST STE 300, ERIE, PA 16502-2716
(814) 452-7246
(814) 452-7244
Mailing address
1910 SASSAFRAS ST, SUITE 300, ERIE, PA 16502-2716
(814) 452-7246
(814) 452-7244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011402
PA
Other
Enumeration date
08/09/2011
Last updated
10/01/2020
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