Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Mullen-Walsh, CRNP

Individual provider Family Nurse Practitioner · NPI 1104811140

Mary Mullen-Walsh, CRNP is a Nurse Practitioner in Scranton, Pennsylvania. Qualified in 1988, 38 years ago. Practices with Northeastern Rehabilitation Associates, PC, a 47-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
38
Licensed in
PA
In the registry since
2005
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

5 Morgan Hwy Ste 4
Scranton, PA 18508-2641
Phone: (570) 344-3788
Fax: (570) 969-9280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence VP005831B (PA)

Record details

NPI number1104811140
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Northeastern Rehabilitation Associates, Pc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Scranton