Organization · Type 2 NPI
Evolution Wound Management of PA PC
Nurse Practitioner · Erie, PA
Practice location
502 W 7th St Ste 100
Erie, PA 16502-1333
Fax (800) 897-1470
Mailing address
242 W 53rd St Apt 48E
New York, NY 10019-7895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None 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 1770457590
Evolution Wound Management of PA PC's National Provider Identifier is 1770457590, issued on Oct 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Erie, PA. The record was last updated on Oct 3, 2025.