Individual
NICHOLLE MARIE TARBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
811 GARLOCH DR, ERIE, PA 16505-1252
(814) 823-7086
Mailing address
811 GARLOCH DR, ERIE, PA 16505-1252
(814) 823-7086
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN288465
PA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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