Individual
JULIA A NN ROUSSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 868-8661
(814) 860-2120
Mailing address
135 E 38TH ST, ERIE, PA 16504-1559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP003809B
PA
Other
Enumeration date
01/06/2006
Last updated
03/23/2010
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