Debra Faucher, CRNA | |
Erpg Crna Services, 763 Johnsonburg Road, St. Marys, PA 15857 | |
(814) 788-8569 | |
(814) 788-8092 |
Full Name | Debra Faucher |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | Erpg Crna Services, St. Marys, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568436814 | NPI | - | NPPES |
053130 | Other | PA | CRNA CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN340462L (Pennsylvania) | Primary |
Entity Name | Gulfstream Anesthesia Consultants Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992713242 PECOS PAC ID: 2365418241 Enrollment ID: O20050601000415 |
Mailing Address | Practice Location Address |
---|---|
Debra Faucher, CRNA 11 Highwood Ln, Bradford, PA 16701-2459 Ph: (814) 362-0103 | Debra Faucher, CRNA Erpg Crna Services, 763 Johnsonburg Road, St. Marys, PA 15857 Ph: (814) 788-8569 |
Philip M Latona, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 763 Johnsonburg Road, Erpg Anesthesia Services, St. Marys, PA 15857 Phone: 814-788-8569 Fax: 814-788-8387 | |
Teresa A Richards, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 763 Johnsonburg Road, Erpg Anesthesia Services, St. Marys, PA 15857 Phone: 814-788-8562 Fax: 814-788-8387 |