MARY PATRICIA DORENKAMP-REESE CRNP NPI 1093808016

NPI Information

NPI: 1093808016
Provider Name: MARY PATRICIA DORENKAMP-REESE, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2110 HARRISBURG PIKE
SUITE 302
LANCASTER, PA
ZIP 17604
Phone: (717) 544-3364
Get Directions

Mary Patricia Dorenkamp-reese, CRNP is a family nurse practitioner in Lancaster, PA. Mary Patricia Dorenkamp-reese, CRNP NPI is 1093808016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2110 HARRISBURG PIKE
SUITE 302
LANCASTER, PA
ZIP 17604
Phone: (717) 544-3364
Fax: (717) 544-3365

The NPI 1093808016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 2/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	UP005726B	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1012737020001	MEDICAID	PENNSYLVANIA
2	P44199	MEDICARE UPIN
3	052780MP1	MEDICARE PIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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