Provider Demographics
NPI:1326540642
Name:SHREFFLER, MARIA ELAINE
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ELAINE
Last Name:SHREFFLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:CORRY
Mailing Address - State:PA
Mailing Address - Zip Code:16407-1613
Mailing Address - Country:US
Mailing Address - Phone:814-462-0288
Mailing Address - Fax:
Practice Address - Street 1:81 E DILLON DR
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354-2402
Practice Address - Country:US
Practice Address - Phone:814-827-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN295854164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse