MARY SUE NICHOLSON

BROOKHAVEN, PA
NPI1063662849
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP007470)
Enumeration Date2008-09-29
Last Update Date2008-09-29
Business Address
-- MARY SUE NICHOLSON CRNP
4098 EDGMONT AVE
BROOKHAVEN, PA 19015-2211
Phone number: 866-825-3227
Mailing Address
-- MARY SUE NICHOLSON CRNP
161 WASHINGTON ST EIGHT TOWER BRIDGE STE 1400
CONSHOHOCKEN, PA 19428-2083
Phone number: 866-825-3227
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