Individual provider · Type 1 NPI
Mary Esancy, NP
Gerontology Nurse Practitioner · Bowling Green, VA
NPI number
1649751975
Active
Practice location
102 West Broaddus Ave, Suite 200
Bowling Green, VA 22427
Mailing address
102 W Broaddus Ave
Bowling Green, VA 22427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0024176437 (VA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1649751975
Mary Esancy, NP's National Provider Identifier is 1649751975, issued on Aug 24, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bowling Green, VA. The record was last updated on Oct 23, 2026.