Individual
BENNETT STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(406) 589-5570
Mailing address
201 STATE ST, ERIE, PA 16550-0002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR26991000
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR26991000
PA RN LICENSE
PA
Enumeration date
04/13/2026
Last updated
04/13/2026
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