MARY LOUISE DEPIETRO - NPI 1104504125 - Licensed Practical Nurse in Dunmore, PA

Q: What is Mary Louise Depietro's NPI number?

The NPI number for Mary Louise Depietro is 1104504125. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Q: What is Mary Louise Depietro's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Mary Louise Depietro NPPES

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

MARY LOUISE DEPIETRO (NPI 1104504125) is an individual licensed practical nurse in Dunmore, Pennsylvania, licensed in Pennsylvania (PN102636L) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1104504125

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARY LOUISE DEPIETRO

Location Address118 MONAHAN AVEDunmore, PA 18512-1700

Mailing Address118 Monahan AveDunmore, PA 18512-1700 · (570) 241-0359

Phone(570) 241-0359

Sole ProprietorNo

Enumeration DateJuly 10, 2023

NPPES CertifiedJuly 10, 2023

✔ NPI 1104504125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in PA · PN102636L

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

118 MONAHAN AVE, Dunmore, PA 18512

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Other Providers at the Same Location NPPES 20

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

REBECCA THALENFELD

Counselor