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

Mary Sue Nicholson, CRNP

Individual provider Family Nurse Practitioner · NPI 1063662849

Mary Sue Nicholson, CRNP is a Family Nurse Practitioner in Brookhaven, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

4098 Edgmont Ave
Brookhaven, PA 19015-2211
Phone: (866) 825-3227
Fax: (484) 450-2617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP007470 (PA)

Record details

NPI number1063662849
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 29, 2008
Last updated in NPPESSeptember 29, 2008

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