Doctor Name: | DEBRA R SHREVE |
NPI Number: | 1427078807 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP007505 |
Business Practice Address: | 315 York St Corry, PA - 164071412 |
Business Phone Number: | 8146648686 |
Business Fax Number: | 8146649826 |
Mailing Address: | 315 York St, CORRY |
State: | PA |
Postal Code: | 164071412 |
Phone Number: | 8146648686 |
Fax Number: | 8146649826 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP007505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |