Individual
MARY SUMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1101 MOOSIC ST, SCRANTON, PA 18505-2105
(570) 347-6991
Mailing address
1117 1/2 W LOCUST ST, SCRANTON, PA 18504-2105
(570) 445-8731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015209
PA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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