Provider Demographics
NPI:1740362862
Name:DALPIAZ, MARY CATHERINE (CRNP)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:CATHERINE
Last Name:DALPIAZ
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:1042 RUTHANN DR
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-2426
Mailing Address - Country:US
Mailing Address - Phone:570-759-2682
Mailing Address - Fax:570-759-8505
Practice Address - Street 1:400 E 2ND ST
Practice Address - Street 2:RM 324 KUB BLOOMSBURG UNIVERSITY OF PENNSYLVANIA
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-1301
Practice Address - Country:US
Practice Address - Phone:570-389-4451
Practice Address - Fax:570-389-3417
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2009-07-28
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Provider Licenses
StateLicense IDTaxonomies
PASP007891363L00000X
PASP008442363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner