Healthcare Provider Details

I. General information

NPI: 1326206913
Provider Name (Legal Business Name): RHONDA R TOBIN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 W 25TH ST
ERIE PA
16544-0002
US

IV. Provider business mailing address

232 W 25TH ST
ERIE PA
16544-0002
US

V. Phone/Fax

Practice location:
  • Phone: 814-454-8885
  • Fax: 814-456-3856
Mailing address:
  • Phone: 814-452-7015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN537808
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: