Organization
GREAT LAKES ANESTHETISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN NUTTER CRNA (OWNER)
(814) 460-7646
Entity
Organization
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 864-4031
Mailing address
PO BOX 108, HOLLIDAYSBURG, PA 16648-0108
(814) 696-8886
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/28/2025
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