Individual provider · Type 1 NPI

Tricia-Kay Ellersick-Lopez, CRNP

Family Nurse Practitioner · Walnutport, PA

NPI number 1376946970 Active

Practice location

3899 Wood Dr
Walnutport, PA 18088-9414

Call (570) 801-6255 Map

Mailing address

3899 Wood Drive
Walnutport, PA 18088

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	SP014274 (PA)

Family Nurse Practitioner: Definition to come...

About NPI 1376946970

Tricia-Kay Ellersick-Lopez, CRNP's National Provider Identifier is 1376946970, issued on Sep 27, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Walnutport, PA. The record was last updated on May 12, 2017.