NPI Profile for MARY DICKERSON in FRANKFORD, DE.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
School |
163WS0200X |
| NPI Number | 1689005225 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 12/09/2013 | |
| Last updated | 11/08/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY DICKERSON
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