Mary A Amico
Individual provider Active NPI Registered Nurse · Scranton, PA
NPI 1013487016 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1013487016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN684272 (PA)
- Practice address
- 640 Madison Ave
Scranton, PA 18510-1631 - Phone
- (570) 826-1777
- Fax
- (570) 823-3040
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN684272 | PA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN684272 | PA | Yes |
Addresses
Primary practice location
640 Madison Ave
Scranton, PA 18510-1631
Mailing address
15 Public SQ Ste 600
Wilkes Barre, PA 18701-1704
Phone (570) 826-1777
Other providers in Scranton, PA
- Amd Medical Inc
- Elizabeth Helen Ameigh
- American Home Care Supply Company, Inc.
- American Sole Emergency Physicians LLC
- Birendra Amgai
- Michelle Amico
- Zyad Amin
- Mohammad Asim Amjad
- Amskrobola PLLC
- Odile J Anderson Oddo
All providers in Scranton, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.