Mary Sue Nicholson, CRNP
NPI #1063662849 in Brookhaven, Pennsylvania
Provider Information
- NPI Number
- 1063662849
- Entity Type
- Individual
- Name
- Mary Sue Nicholson, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CRNP
- Enumeration Date
- Sep 29, 2008
- Last Updated
- Sep 29, 2008
Practice Location
- Address
- 4098 EDGMONT AVE
- City
- Brookhaven
- State
- Pennsylvania
- ZIP Code
- 19015-2211
- Phone
- (866) 825-3227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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