| Doctor Name: | MARY DICKERSON |
| NPI Number: | 1689005225 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | L-10023320 |
| Business Practice Address: | 30207 Frankford School Rd Frankford, DE - 199452616 |
| Business Phone Number: | 3027323800 |
| Business Fax Number: | 3027326016 |
| Mailing Address: | 30207 Frankford School Rd, FRANKFORD |
| State: | DE |
| Postal Code: | 199452616 |
| Phone Number: | 3027323800 |
| Fax Number: | 3027326016 |
| NPI Enumeration Date: | 12/09/2013 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | L-10023320 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |