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NPI Code Detail

MEDICARE: MS. MARY LAURA HITCHCOCK CRNP

MEDICARE:  MS. MARY LAURA HITCHCOCK  CRNP
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
1163WW0101XAmbulatory Women's Health Care Registered NurseRN037974LA
2363LW0102XWomen's Health Nurse PractitionerAP01173LA
3363LW0102XWomen's Health Nurse PractitionerSP000141FPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PO0341287OTHERPARAILROAD MEDICARE
2565985FLTOTHERPAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124072988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY LAURA HITCHCOCK CRNP
Provider Business Mailing Address
First Line : 3421 CONCORD RD
Second Line :
City : YORK
State : PA
Zip : 17402-9001
Country : US
Telephone Number : 717-812-7800
Fax Number : 717-812-7811
Provider Business Practice Location Address
First Line : 4222 LINCOLN HWY
Second Line :
City : YORK
State : PA
Zip : 17406-8083
Country : US
Telephone Number : 717-812-7800
Fax Number : 717-812-7811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 11/12/2018

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