Individual
MS. MARY BETH VERDECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
(814) 452-5348
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
(814) 452-7818
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN271214L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101647713
—
PA
Enumeration date
06/13/2006
Last updated
06/20/2022
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