National Provider Identifier

Mary Eustace, AGPCNP

Mary Eustace, AGPCNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Lancaster, NY and a listed phone number of (716) 934-4518.

NPI 1649622432Lancaster, NYNurse Practitioner

Profile Overview

NPI
1649622432
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
July 06, 2016
Last Updated
February 16, 2021

Practice Location

  • 3 Silent Meadow Ln
  • Lancaster, NY 14086-3430

Phone: (716) 934-4518

Mailing Address

  • 120 E 2Nd St Fl 2
  • Erie, PA 16507-1537

Specialties

  • Nurse Practitioner (363L00000X)
  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1649622432
Entity Type
Individual
Last Name
Eustace
First Name
Mary
Credential
AGPCNP
Mailing Street Address
120 E 2Nd St Fl 2
Mailing City
Erie
Mailing State
PA
Mailing ZIP Code
16507-1537
Mailing Country
US
Mailing Phone
(814) 456-8980
Mailing Fax
(814) 451-0443
Practice Street Address
3 Silent Meadow Ln
Practice City
Lancaster
Practice State
NY
Practice ZIP Code
14086-3430
Practice Country
US
Practice Phone
(716) 934-4518
Practice Fax
(716) 934-7443
Enumeration Date
July 06, 2016
Last Updated
February 16, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 16, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X), Adult Health Nurse Practitioner (363LA2200X)