Individual provider · Type 1 NPI

Mary Jane Dallasta, R.N.

Registered Nurse · Plymouth Meeting, PA

NPI number 1861672719 Active

Practice location

2250 Hickory Rd, Suite 240
Plymouth Meeting, PA 19462-1047

Mailing address

RR 1 Box 64B, Butterfield Road
Susquehanna, PA 18847-9751

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN510-504L (PA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1861672719

Mary Jane Dallasta, R.N.'s National Provider Identifier is 1861672719, issued on Nov 8, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Nov 8, 2007.