Individual
MARY R. NUNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(610) 526-3000
Mailing address
PO BOX 828962, PHILADELPHIA, PA 19182-0001
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN575376
PA
Other
Enumeration date
04/27/2010
Last updated
02/22/2011
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