Provider Demographics
NPI:1326316266
Name:SCUTELLA, KATHLEEN ANN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:ANN
Last Name:SCUTELLA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:145 W 23RD ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2858
Mailing Address - Country:US
Mailing Address - Phone:814-452-7800
Mailing Address - Fax:814-452-7915
Practice Address - Street 1:145 W 23RD ST
Practice Address - Street 2:SUITE 303
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-2858
Practice Address - Country:US
Practice Address - Phone:814-452-7800
Practice Address - Fax:814-452-7915
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2020-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP011705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily