Depoe, Mary Elizabeth

Depoe, Mary Elizabeth is an individual health care provider with primary practice located at 2106 Harrisburg Pike Suite 1, Lancaster PA 17601-2644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Depoe, Mary Elizabeth can be contacted via phone (717) 291-5931.

Contact Information

Primary practice address
2106 Harrisburg Pike Suite 1 Lancaster PA 17601-2644
Phone: (717) 291-5931
Fax: (717) 291-5818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X TP004658N Pennsylvania

Profile Details

NPI number 1124004163
LBN Legal business name Depoe, Mary Elizabeth
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124004163 NPPES
Pennsylvania MEDICAID 001870291

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