Organization
SAMRA M EL-ATTRACHE RN CRNP
Active
Other names
SAMRA M EL-ATTRACHE RN CRNP
Organization subpart
No
Provider details
NPI number
Authorized official
SAMRA M EL-ATTRACHE RN CRNP (OWNER)
(724) 547-3576
Entity
Organization
Contact information
Practice address
20 E MAIN ST STE 4, MT PLEASANT, PA 15666-2094
(724) 547-3576
(724) 547-0242
Mailing address
20 E MAIN ST STE 4, MOUNT PLEASANT, PA 15666-2094
(724) 547-3576
(724) 547-0242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP019830
LICENSE
PA
Enumeration date
05/16/2019
Last updated
01/03/2020
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