Therese Alcorn

Individual provider Active NPI Registered Nurse · Meadville, PA

NPI 1407250038 · NPPES record last updated Oct 10, 2014

Key facts

NPI
1407250038
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN323798L (PA)
Practice address
18279 Conneaut Lake Rd
Meadville, PA 16335-3759
Phone
(814) 337-8383
Fax
(814) 337-8380
NPI assigned
Oct 10, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN323798LPAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN323798L PA Yes

Addresses

Primary practice location

18279 Conneaut Lake Rd
Meadville, PA 16335-3759

Mailing address

18279 Conneaut Lake Rd
Meadville, PA 16335-3759
Phone (814) 337-8383

Other providers in Meadville, PA

All providers in Meadville, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.