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Contact Information

MARY M BANKHEAD, CRNP
409 2ND AVE STE 303
COLLEGEVILLE, PA19426-3662
 Phone: 610-409-8050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY M BANKHEAD · (Female)

NPI Number 1588089825
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 02/24/2014
Last updated 02/24/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SP013603
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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