Provider Demographics
NPI:1932180197
Name:BREMSER, MARY LOU D (CRNP)
Entity Type:Individual
Prefix:MS
First Name:MARY LOU
Middle Name:D
Last Name:BREMSER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HORSESHOE LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2923
Mailing Address - Country:US
Mailing Address - Phone:610-667-2485
Mailing Address - Fax:
Practice Address - Street 1:30 HORSESHOE LN.
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2923
Practice Address - Country:US
Practice Address - Phone:610-667-2485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN295271L163WS0200X
PASP008235363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool