Mary Lou Mackievich, CRNP

NPI 1639239890 · on the registry since 2006 · sole proprietor

Practice

Address: 918 3rd Ave
Beaver Falls, PA 15010
Phone: (724) 843-6000
Organisation at this address: Tri State Medical Group, Inc
Tri-State Medical Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

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: 2007-07-08

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