Healthcare Provider Details
I. General information
NPI: 1013486448
Provider Name (Legal Business Name): KATHARINE THERESA RESSLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/14/2018
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 W 12TH ST
ERIE PA
16505-4500
US
IV. Provider business mailing address
1501 SILL ST
WARREN PA
16365-2015
US
V. Phone/Fax
- Phone: 814-836-2600
- Fax:
- Phone: 814-706-7800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | PA.0009930 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | MA060328 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: