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Mary Kathleen Ditullio, CRNP
Nurse Practitioner in Erie, Pennsylvania
NPI 1053304998

Mary Kathleen Ditullio is a Nurse Practitioner based in Erie, PA. Mary Kathleen Ditullio practices in Erie, PA and has the professional credentials of CRNP. The NPI Number for Mary Kathleen Ditullio is 1053304998 and holds a License No. VP003581G (Pennsylvania).

The current practice location address for Mary Kathleen Ditullio is 17 Merline Ave, Erie, PA and can be reached out via phone at 814-868-9484 and via fax at 814-866-5904. You can also correspond with Mary Kathleen Ditullio through the mailing address at 17 MERLINE AVE, ERIE, PA - 16509-1567 (mailing address contact number: 814-868-9484).

Location: 17 Merline Ave, Erie, PA, 16509-1567
person
Provider Profile Details
NPI Number
1053304998
Provider Name
Mary Kathleen Ditullio
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
17 Merline Ave, Erie, PA, 16509-1567
Phone Number
814-868-9484
Fax Number
814-866-5904
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1988988 01 PA BLUE SHIELD
1565773 01 PA GATEWAY
P00406374 01 PA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
17 Merline Ave
City
State
Zip
16509-1567
Phone Number
814-868-9484
Fax Number
814-866-5904
person
Provider Business Mailing Address Details
Address
17 Merline Ave
City
State
Zip
16509-1567
Phone Number
814-868-9484
Fax Number
814-866-5904
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
VP003581G (Pennsylvania)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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