| Doctor Name: | MARY CATHERINE HANNIGAN-CONROY |
| NPI Number: | 1093113045 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | RN296185L |
| Business Practice Address: | 100 Maris Grove Way Glen Mills, PA - 193421282 |
| Business Phone Number: | 6103874520 |
| Business Fax Number: | 6103874526 |
| Mailing Address: | 5525 Research Park Dr, 4th Floor BALTIMORE |
| State: | MD |
| Postal Code: | 212284873 |
| Phone Number: | 6103874520 |
| Fax Number: | 6103874526 |
| NPI Enumeration Date: | 12/08/2014 |
| NPI Last Update Date: | 12/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN296185L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |