Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | SP009768 | PA |
NPI | 1023277118 |
---|---|
Provider Name | Cynthia L Dahlkemper |
First Address | Erie, PA 16510-2304 |
Second Address | Erie, PA 16510-2304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2008 |
Last Update Date | 05/10/2020 |