Search › Pennsylvania › 363LF0000X
Mary Nicholson, CRNP
NPI 1063662849 · on the registry since 2008
Practice
- Address
- 4098 Edgmont Ave
Brookhaven, PA 19015 - Phone
- (866) 825-3227
- Fax
- (484) 450-2617
- Organisation at this address
- Walgreen Eastern Co Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania