Individual provider · Type 1 NPI

Mary Louise Depietro

Licensed Practical Nurse · Dunmore, PA

NPI number 1104504125 Active

Practice location

118 Monahan Ave
Dunmore, PA 18512-1700

Call (570) 241-0359 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN102636L (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104504125

Mary Louise Depietro's National Provider Identifier is 1104504125, issued on Jul 10, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dunmore, PA. The record was last updated on Jul 10, 2023.