Individual
MARY ANN CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2808 OLD POST RD, HARRISBURG, PA 17110-3685
(717) 920-4400
(717) 591-7153
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN299064L
PA
363L00000X
Nurse Practitioner
UP001547C
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
UP001547C
PA
Other
Enumeration date
09/20/2011
Last updated
01/30/2020
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