Individual
MRS. STACEY MARIE GULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 456-9197
Mailing address
1910 SASSAFRAS ST, STE 100, ERIE, PA 16502-2716
(814) 456-9197
(814) 455-2765
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016387
PA
Other
Enumeration date
07/07/2016
Last updated
08/26/2016
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