Individual provider · Type 1 NPI

Mary Jeen Nicola, CRNP

Nurse Practitioner · Irwin, PA

NPI number 1407689870 Active

Practice location

905 Spruce St
Irwin, PA 15642-3683

Fax (724) 864-9860

Other practice locations

  • 410 Pellis Rd Ste 1A, Greensburg, PA 15601-4700 · (724) 832-7877
  • 328 Weldon St, Latrobe, PA 15650-1851 · (724) 537-3381

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP030310 (PA)
Nurse Practitioner 363L00000XAPRN11034854 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

7 other providers at this address

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About NPI 1407689870

Mary Jeen Nicola, CRNP's National Provider Identifier is 1407689870, issued on Aug 21, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Irwin, PA. The record was last updated on Jul 22, 2025.