Individual
MRS. MARY CONCINO MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 812-2168
(717) 812-6032
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2465
(717) 741-3043
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011207
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605870
GATEWAY MEDICARE ASSURED
PA
01
—
2633236
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
05/06/2011
Last updated
03/10/2020
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