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NPI Code Detail

MEDICARE: NICOLE MARIE EHRMAN PA-C

MEDICARE: NICOLE MARIE EHRMAN PA-C
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
1363AM0700XMedical Physician Assistant004439OH
2363AM0700XMedical Physician AssistantMA058938PA

General Provider Information

NPI Number : 1093183964
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MARIE EHRMAN PA-C
Provider Business Mailing Address
First Line : 311 W 24TH ST STE 101
Second Line :
City : ERIE
State : PA
Zip : 16502-2668
Country : US
Telephone Number : 814-452-4214
Fax Number : 814-459-7823
Provider Business Practice Location Address
First Line : 311 W 24TH ST STE 101
Second Line :
City : ERIE
State : PA
Zip : 16502-2668
Country : US
Telephone Number : 814-452-4214
Fax Number : 814-459-7823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2015
Last Update Date : 10/01/2020

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Directions to “ NICOLE MARIE EHRMAN PA-C” Practice Location

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