Mary Jacqueline Herbert CRNA

NPI 1619156486 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1619156486
Gender Female
Enumeration Date 10/30/2007
Last Updated 04/01/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1800 MULBERRY ST
SCRANTON PA, 18510-2369, US
Phone (570) 969-1800
Fax
Business Location
478 SLOCUM ST
SWOYERSVILLE PA, 18704-1947, US
Phone (570) 287-3225
Fax
Toxanomy
Taxonomy Code 367500000X
License State Pennsylvania
License Number 078124
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According to our database, Mrs. Mary Jacqueline Herbert CRNA NPI is 1619156486, taxonomy code is 367500000X and license number is 078124, license state is located at Pennsylvania. Mary Jacqueline Herbert CRNA physically located at 1800 Mulberry St, Scranton PA, 18510-2369. NPI Number Mary Jacqueline Herbert CRNA has the Individual type.

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1619156486 NPI number is provided on an as is basis without warranty of any kind. 1619156486 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jacqueline Herbert CRNA are for informational purposes only.