Marie Susan Gaetano, CRNP
Individual provider Active NPI Family Nurse Practitioner · Enola, PA
NPI 1295766046 · NPPES record last updated Aug 18, 2009
Key facts
- NPI
- 1295766046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP008299 (PA)
- Practice address
- 4470 Valley St
Enola, PA 17025-1443 - Phone
- (717) 732-8883
- Fax
- (717) 732-1640
- NPI assigned
- Jul 6, 2006
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP008299 | PA | Yes |
Addresses
Primary practice location
4470 Valley St
Enola, PA 17025-1443
Mailing address
3 Walnut St
Suite 206
Lemoyne, PA 17043-1168
Phone (717) 761-0208
Other names
- Marie Susan Walsh
Other providers in Enola, PA
- Kara Flickinger
- Morgan Fraser
- Charles Michael Fullem
- Gadani Associates
- Pravin Gadani
- Matthew Robert Garner
- Kendall Rianne Geib
- Lynn Ann Gerlach
- Carla Ghannam
- Caroline Gindhart
All providers in Enola, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2009. 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.