Provider Demographics
NPI:1194181727
Name:STRONG, MARY H
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:H
Last Name:STRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MARY
Other - Middle Name:J
Other - Last Name:HILARSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:38968 WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:FENWICK ISLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19944-4040
Mailing Address - Country:US
Mailing Address - Phone:585-451-0283
Mailing Address - Fax:
Practice Address - Street 1:38968 WILLOW LN
Practice Address - Street 2:
Practice Address - City:FENWICK ISLAND
Practice Address - State:DE
Practice Address - Zip Code:19944-4040
Practice Address - Country:US
Practice Address - Phone:585-451-0283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0048007163WC3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation