Doctor Name: | MARY A KRAEMER |
NPI Number: | 1073710125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN178252L |
Business Practice Address: | 606 Locust St Mckeesport, PA - 151322911 |
Business Phone Number: | 4126758533 |
Business Fax Number: | 4126758920 |
Mailing Address: | 1133 Logan Rd, BETHEL PARK |
State: | PA |
Postal Code: | 151023353 |
Phone Number: | 4126758533 |
Fax Number: | 4126758920 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN178252L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |