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Individual

LAURA MEGHAN KNEPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2315 MYRTLE ST STE L90, ERIE, PA 16502-4607
(814) 452-7575
Mailing address
2315 MYRTLE ST STE L90, ERIE, PA 16502-4607
(814) 452-7575

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP018131
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP018131
PA
363LG0600X
Gerontology Nurse Practitioner
SP018131
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103456149
PA
01
14130541
CAQH
Enumeration date
11/27/2017
Last updated
11/20/2024
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