Individual provider · NPI-1
Mary E Dixon, CRNP
Nurse Practitioner, Family · Enola, PA
NPI number1083038541
StatusActive
Last updated in NPPESJan 7, 2022
Details
- NPI
- 1083038541
- Entity type
- Individual (NPI-1)
- Name
- Mary E Dixon
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2014
- Certification date
- Jan 7, 2022
- Last updated
- Jan 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP013468 | PA | Yes |
| 363L00000X | Nurse Practitioner | SP013468 | PA |
Practice location
1830 Good Hope RdEnola, PA 17025-1233
Phone 717-652-9555 · Fax 717-791-2621
Mailing address
1830 Good Hope RdEnola, PA 17025-1233
Phone 717-652-9555 · Fax 717-791-2621
Other practice locations
1211 Forge Rd Ste 300
Carlisle, PA 17013-3183
Carlisle, PA 17013-3183
Phone 717-218-3920 · Fax 717-218-3921
820 Sir Thomas Ct
Harrisburg, PA 17109-4839
Harrisburg, PA 17109-4839
Phone 717-652-9555 · Fax 717-791-2621
1830 Good Hope Rd
Enola, PA 17025-1233
Enola, PA 17025-1233
Phone 717-988-9019 · Fax 717-221-5593
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