Individual
MARY ELLEN CONOLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1339 WOODBOURNE RD, LEVITTOWN, PA 19057-1236
(215) 547-4409
Mailing address
PO BOX 947, CHAMBERSBURG, PA 17201-0947
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN215720L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016186040001
—
PA
Enumeration date
05/26/2006
Last updated
10/25/2007
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