Organization · Type 2 NPI

Elk Regional Professional Group, Inc.

Nurse Practitioner · St. Marys, PA

NPI number 1104828110 Active

Practice location

763 Johnsonburg Rd, St. Marys Finance Department
St. Marys, PA 15857-3417

Call (814) 788-8580 Map

Fax (814) 788-8092

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Pain Medicine (Anesthesiology) Physician 207LP2900XNone listed
Emergency Medicine Physician 207P00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Rheumatology Physician 207RR0500XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Anatomic Pathology & Clinical Pathology Physician 207ZP0102XNone listed
Surgery Physician 208600000XNone listed
Clinical Electrophysiology Physical Therapist 2251E1300XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Certified Registered Nurse Anesthetist 367500000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104828110

Elk Regional Professional Group, Inc.'s National Provider Identifier is 1104828110, issued on Aug 10, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Marys, PA. The record was last updated on Sep 11, 2025.