Healthcare Provider Details

I. General information

NPI: 1679004360
Provider Name (Legal Business Name): ARETTA STRAW CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 04/13/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 N FRONT ST
PHILIPSBURG PA
16866-1602
US

IV. Provider business mailing address

18 N FRONT ST
PHILIPSBURG PA
16866-1602
US

V. Phone/Fax

Practice location:
  • Phone: 814-342-2333
  • Fax: 814-342-2277
Mailing address:
  • Phone: 814-342-2333
  • Fax: 814-342-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP017276
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: