Individual
ELISE WURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
924 E 30TH ST, ERIE, PA 16504-1310
(814) 403-6891
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN685177
PA
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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