Individual provider · NPI-1

Marie Susan Gaetano, CRNP

Nurse Practitioner, Family · Enola, PA

NPI number1295766046
StatusActive
Last updated in NPPESAug 18, 2009

Details

NPI
1295766046
Entity type
Individual (NPI-1)
Name
Marie Susan Gaetano
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 6, 2006
Last updated
Aug 18, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySP008299PAYes

Other names

  • Marie Susan Walsh (Former Name)

Practice location

4470 Valley St
Enola, PA 17025-1443

Phone 717-732-8883 · Fax 717-732-1640

Mailing address

3 Walnut St
Suite 206
Lemoyne, PA 17043-1168

Phone 717-761-0208 · Fax 717-761-2023

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