Individual
MS. MARY LAURA HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4222 LINCOLN HWY, YORK, PA 17406-8083
(717) 812-7800
(717) 812-7811
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-7800
(717) 812-7811
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN037974
LA
363LW0102X
Women's Health Nurse Practitioner
AP01173
LA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP000141F
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1692231
—
LA
01
—
565985FLT
MEDICARE
PA
01
—
PO0341287
RAILROAD MEDICARE
PA
Enumeration date
05/19/2006
Last updated
11/12/2018
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