Provider Demographics
NPI:1487268694
Name:ACRI, COLLEEN T (MSN, RN, CEN)
Entity type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:T
Last Name:ACRI
Suffix:
Gender:F
Credentials:MSN, RN, CEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5103 DIXSON DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-1739
Mailing Address - Country:US
Mailing Address - Phone:814-490-6666
Mailing Address - Fax:
Practice Address - Street 1:5103 DIXSON DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-1739
Practice Address - Country:US
Practice Address - Phone:814-490-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN296218L163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA