Nicholson, Mary Sue
Nicholson, Mary Sue is an individual health care provider with primary practice located at 4098 Edgmont Ave , Brookhaven PA 19015-2211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nicholson, Mary Sue can be contacted via phone (866) 825-3227.Contact Information
Primary practice address
4098 Edgmont Ave
Brookhaven PA 19015-2211
Phone: (866) 825-3227
Fax: (484) 450-2617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP007470 | Pennsylvania |
Profile Details
| NPI number | 1063662849 |
|---|---|
| LBN Legal business name | Nicholson, Mary Sue |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2008 |
| Last updated | Sep 29th, 2008 - about 16 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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