MEDICARE: ANDROMEDA FAIR 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
1	163W00000X	Registered Nurse	RN642005	PA
2	163W00000X	Registered Nurse	RN.382551	OH
3	363LW0102X	Women's Health Nurse Practitioner	SP016598	PA
4	363LF0000X	Family Nurse Practitioner	SP027602	PA

General Provider Information

NPI Number	:	1326401761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDROMEDA FAIR CRNP

Provider Business Mailing Address
First Line	:	3330 PEACH ST STE 106
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16508-2771
Country	:	US
Telephone Number	:	814-877-8586
Fax Number	:

Provider Business Practice Location Address
First Line	:	3330 PEACH ST STE 106
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16508-2771
Country	:	US
Telephone Number	:	814-877-8586
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2016
Last Update Date	:	12/05/2025

Similar Medicare Providers

1710986534 — DANIEL BARBERO
Practice Location Address:

3330 PEACH ST STE 106B , SUITE 106B
ERIE, PA
16508-2771

Practice Phone: 814-877-5570
Practice Fax:

1831178839 — ROMAN MACK
Practice Location Address:

3330 PEACH ST STE 106B , SUITE 106B
ERIE, PA
16508-2771

Practice Phone: 814-877-5570
Practice Fax:

1609885706 — KATHRYNE L BUEGE D.O.
Practice Location Address:

3330 PEACH ST STE 106B
ERIE, PA
16508-2771

Practice Phone: 814-877-5570
Practice Fax: 814-877-5571

1841457579 — REGIONAL HEALTH SERVICES INC.
Practice Location Address:

3330 PEACH STREET , SUITE 106
ERIE, PA
16508-2771

Practice Phone: 814-877-5500
Practice Fax: 814-877-5508

1023274230 — JOSHUA BRITTEN
Practice Location Address:

3330 PEACH ST STE 107
ERIE, PA
16508-2771

Practice Phone: 814-877-3668
Practice Fax:

1043681919 — MRS. VICTORIA CAMILLERI CRNP
Practice Location Address:

3330 PEACH ST STE 106
ERIE, PA
16508-2771

Practice Phone: 814-877-5570
Practice Fax: 814-877-5571

Directions to “ ANDROMEDA FAIR CRNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.