Individual
DR. MARY LOUISE GEORGEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
226 RUSS LN, SAINT MARYS, PA 15857-1232
(814) 834-4103
Mailing address
226 RUSS LN, SAINT MARYS, PA 15857-1232
(814) 834-4103
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028002
PA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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