MARY ALICE MARSHALL-CRIM APRN NPI 1124299144

NPI Information

NPI: 1124299144
Provider Name: MARY ALICE MARSHALL-CRIM, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
80 SEYMOUR STREET
HARTFORD HOSPITAL OB/GYN DEPT
HARTFORD, CT
ZIP 06102
Phone: (860) 972-2780
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Mary Alice Marshall-crim, APRN is a family nurse practitioner in Hartford, CT. Mary Alice Marshall-crim, APRN NPI is 1124299144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

80 SEYMOUR STREET
HARTFORD HOSPITAL OB/GYN DEPT
HARTFORD, CT
ZIP 06102-037
Phone: (860) 972-2780

The NPI 1124299144 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 4/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		003716	CONNECTICUT	No
2	363LF0000X	Nurse Practitioner	Family	003716	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D400084655 - C00814	MEDICARE PIN	CONNECTICUT
2	004037164	MEDICAID	CONNECTICUT
3	003716	OTHER	CONNECTICUT	CT LICENSE #
4	D400084656 - C00023	MEDICARE PIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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