Most Relevant Information
Provider Data
| NPI Number: | 1003306945 |
| Provider Name: | SHANNON R FOLGA MSN, CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 649819 |
Most Important Dates
| Enumeration Date: | 05/16/2018 |
| Last Updated: | 04/04/2019 |
Provider Practice Location
201 STATE ST
ERIE
PA
16550
Practice Location Phone/Fax
| Phone: | 8144500776 |
| Fax: |
Provider Mailing Location
510 BOYER RD
ERIE
PA
165112506
Provider Mailing Phone/Fax
| Phone: | 8144500776 |
| Fax: |