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NPI Code Detail

MEDICARE: MRS. MARY H STRONG

MEDICARE: MRS. MARY H STRONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC3500XCardiac Rehabilitation Registered NurseL1-0048007DE

General Provider Information

NPI Number : 1194181727
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY H STRONG
Provider Business Mailing Address
First Line : 38968 WILLOW LN
Second Line :
City : FENWICK ISLAND
State : DE
Zip : 19944-4040
Country : US
Telephone Number : 585-451-0283
Fax Number :
Provider Business Practice Location Address
First Line : 38968 WILLOW LN
Second Line :
City : FENWICK ISLAND
State : DE
Zip : 19944-4040
Country : US
Telephone Number : 585-451-0283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2016
Last Update Date : 01/12/2016

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