Individual
MARY FRAGASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1210 S CEDAR CREST BLVD STE 1100, ALLENTOWN, PA 18103-6241
(610) 402-7999
(610) 402-7995
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP019755
PA
363LP0222X
Critical Care Pediatric Nurse Practitioner
SP019755
PA
Other
Enumeration date
05/13/2019
Last updated
06/03/2019
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