Pagano, Mary Elizabeth

Pagano, Mary Elizabeth is an individual health care provider with primary practice located at 5213 Godfrey Rd Ste 110 , Godfrey IL 62035-2510. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pagano, Mary Elizabeth can be contacted via phone (618) 618-6193.

Contact Information

Primary practice address
5213 Godfrey Rd Ste 110 Godfrey IL 62035-2510
Phone: (618) 618-6193
Fax: (618) 619-3390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 041453981 Illinois
Nursing Service Providers / General Practice 163WG0000X 2002007982 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209017735 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2018012503 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017735 Illinois

Profile Details

NPI number 1962980979
LBN Legal business name Pagano, Mary Elizabeth
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2018
Last updated Jun 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962980979 NPPES
Missouri Other 2018012503 MO NP LICENSE NUMBER

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