MARY E POLLICE CRNP NPI 1689669194

NPI Information

NPI: 1689669194
Provider Name: MARY E POLLICE, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: JEFFERSON UNIVERSITY PHYSICIANS OF NEW JERSEY PC

PECOS Registration: Yes

Address:
211 S 9TH ST
SUITE 500
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-6175
Get Directions

Mary E Pollice, CRNP is a family nurse practitioner in Philadelphia, PA with 23 years of experience. Mary E Pollice, CRNP NPI is 1689669194. 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:

211 S 9TH ST
SUITE 500
PHILADELPHIA, PA
ZIP 19107-810
Phone: (215) 955-6175
Fax: (215) 955-9783

The NPI 1689669194 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 9/12/2005 and was last updated on 6/9/2016.

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	SP007217	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	246011	MEDICARE PIN	PENNSYLVANIA
2	272855	MEDICARE PIN	NEW JERSEY
3	21518	MEDICARE PIN	FLORIDA
4	102871741	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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