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Contact Information

MARY E DEPOE, CRNP
2106 HARRISBURG PIKE
SUITE 1
LANCASTER, PA17601-2644
 Phone: 717-291-5931
 Fax: 717-291-5818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY E DEPOE · (Female)

NPI # 1124004163
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 12/21/2005
Last updated 07/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # TP004658N
  • PA Medicaid 001870291
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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