person
Mary Sue Nicholson, CRNP
Family Nurse Practitioner in Brookhaven, Pennsylvania
NPI 1063662849

Mary Sue Nicholson is a Family Nurse Practitioner based in Conshohocken, PA and is specialized in Family. Mary Sue Nicholson practices in Brookhaven, PA and has the professional credentials of CRNP. The NPI Number for Mary Sue Nicholson is 1063662849 and holds a License No. SP007470 (Pennsylvania).

The current practice location address for Mary Sue Nicholson is 4098 Edgmont Ave, Brookhaven, PA and can be reached out via phone at 866-825-3227 and via fax at 484-450-2617. You can also correspond with Mary Sue Nicholson through the mailing address at 161 WASHINGTON ST, CONSHOHOCKEN, PA - 19428-2083 (mailing address contact number: 866-825-3227).

Location: 4098 Edgmont Ave, Brookhaven, PA, 19428-2083
person
Provider Profile Details
NPI Number
1063662849
Provider Name
Mary Sue Nicholson
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
4098 Edgmont Ave, Brookhaven, PA, 19428-2083
Phone Number
866-825-3227
Fax Number
484-450-2617
Provider Enumeration Date
09/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4098 Edgmont Ave
City
State
Zip
19015-2211
Phone Number
866-825-3227
Fax Number
484-450-2617
person
Provider Business Mailing Address Details
Address
161 Washington St
City
State
Zip
19428-2083
Phone Number
866-825-3227
Fax Number
484-450-2617
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP007470 (Pennsylvania)
Definition
Definition to come...
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