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NPI Code Detail

MEDICARE: KAMIE DEE REPINE CRNP

MEDICARE: KAMIE DEE REPINE CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerSP008484PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699771139
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMIE DEE REPINE CRNP
Provider Business Mailing Address
First Line : 717 STATE STREET, SUITE 16 LL
Second Line : REGIONAL HEALTH SERVICES, INC.
City : ERIE
State : PA
Zip : 16501-1360
Country : US
Telephone Number : 814-877-7100
Fax Number : 814-877-2939
Provider Business Practice Location Address
First Line : 2 CRESCENT PARK WEST
Second Line : WARREN FACULTY SPECIALISTS
City : WARREN
State : PA
Zip : 16365-2111
Country : US
Telephone Number : 814-723-3300
Fax Number : 814-451-0443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 07/25/2011

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Directions to “ KAMIE DEE REPINE CRNP” Practice Location

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