Individual
MARY ELIZABETH MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4220 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104-3007
(215) 240-6007
Mailing address
4220 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104-3007
(215) 240-6007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP011303
PA
Other
Enumeration date
04/12/2011
Last updated
05/15/2019
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