Provider Demographics
NPI:1093195463
Name:BRESSLER, MARY FITZPATRICK (RN, CRNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FITZPATRICK
Last Name:BRESSLER
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BRECKENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:IVYLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1275
Mailing Address - Country:US
Mailing Address - Phone:215-357-0899
Mailing Address - Fax:215-357-0643
Practice Address - Street 1:10 BRECKENRIDGE DR
Practice Address - Street 2:
Practice Address - City:IVYLAND
Practice Address - State:PA
Practice Address - Zip Code:18974-1275
Practice Address - Country:US
Practice Address - Phone:215-357-0899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001415C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health