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MARY KATHLEEN DITULLIO CRNP
NPI 1053304998
Nurse Practitioner in Erie, PA

Active since August 25, 2005
17 MERLINE AVE, ERIE, PA 16509(814) 868-9484(814) 866-5904 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Kathleen Ditullio Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHLEEN DITULLIO CRNP (NPI 1053304998) is an individual nurse practitioner in Erie, Pennsylvania, licensed in Pennsylvania (VP003581G) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1053304998
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY KATHLEEN DITULLIOCredential: CRNP
Location Address17 MERLINE AVEErie, PA 16509-1567
Mailing Address17 Merline AveErie, PA 16509-1567 · (814) 868-9484 · Fax (814) 866-5904
Phone(814) 868-9484
Fax(814) 866-5904
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateApril 16, 2013
✔ NPI 1053304998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · VP003581G
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
17 MERLINE AVE, Erie, PA 16509
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Other Identifiers 5

OtherP00406374PA · Rr Medicare
Medicare UPINS42847
Other1988988PA · Blue Shield
Medicare PIN951883E7CPA
Other1565773PA · Gateway

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA BEER LCSW
Social Worker (Clinical)
17 MERLINE AVE
ERIE, PA 16509
Erie County (814) 566-0374
MARCIE GRIBBIN
Counselor (Professional)
17 MERLINE AVE
ERIE, PA 16509
Erie County (814) 314-9281
LET'S CONQUER THIS, LLC
Social Worker (Clinical)
17 MERLINE AVE
ERIE, PA 16509
Erie County (814) 566-0374
SHANNON M. O'SULLIVAN LPC
Counselor (Professional)
17 MERLINE AVE
ERIE, PA 16509
Erie County (814) 806-5406
REGIONAL HEALTH SERVICES, INC.
Clinical Medical Laboratory
17 MERLINE AVE
ERIE, PA 16509
Erie County (814) 868-9484
REGIONAL HEALTH SERVICES, INC.
Clinical Medical Laboratory
17 MERLINE AVE
ERIE, PA 16509
Erie County (814) 868-9484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ditullio's NPI number?

The NPI number for Mary Ditullio is 1053304998. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Mary Ditullio located?

Mary Ditullio practices at 17 Merline Ave, Erie, PA 16509. The listed phone number is (814) 868-9484.

What is Mary Ditullio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Ditullio was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.