Individual
MARIAH ELIZABETH SHIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1205 RIVER AVE FL 1, WILLIAMSPORT, PA 17701-3724
(570) 323-5991
(570) 323-6578
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN708877
PA
363L00000X
Nurse Practitioner
Primary
SP029977
PA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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