Individual
THERESA M KISIEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
120 E 2ND ST, STE 2, ERIE, PA 16507-1537
(817) 456-8980
(814) 451-0443
Mailing address
120 E 2ND ST, STE 2, ERIE, PA 16507-1537
(817) 456-8980
(814) 451-0443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP005796B
PA
Other
Enumeration date
06/21/2005
Last updated
07/08/2007
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