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NPI Code Detail

MEDICARE: SUSAN ELAINE SITTER CRNP

MEDICARE: SUSAN ELAINE SITTER 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
1363LF0000XFamily Nurse PractitionerSP011880PA

General Provider Information

NPI Number : 1861753097
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ELAINE SITTER CRNP
Provider Business Mailing Address
First Line : 2911 STATE ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1831
Country : US
Telephone Number : 814-878-3667
Fax Number : 814-459-3705
Provider Business Practice Location Address
First Line : 2911 STATE ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1831
Country : US
Telephone Number : 814-878-3667
Fax Number : 814-459-3705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2012
Last Update Date : 06/05/2012

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Directions to “ SUSAN ELAINE SITTER CRNP” Practice Location

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