Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | SP018280 | PA |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | SP018280 | PA |
N | 363LP2300X | Nurse Practitioner - Primary Care | SP018280 | PA |
NPI | 1033624366 |
---|---|
Provider Name | Margaret Ann Hesser |
First Address | Erdenheim, PA 19038-8121 |
Second Address | Erdenheim, PA 19038-8121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2017 |
Last Update Date | 30/03/2018 |