MARY ALICE MARSHALL-CRIM APRN NPI 1124299144

NPI Information

  • NPI: 1124299144
  • Provider Name: MARY ALICE MARSHALL-CRIM, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 80 SEYMOUR STREET
    HARTFORD HOSPITAL OB/GYN DEPT
    HARTFORD, CT
    ZIP 06102
  • Phone: (860) 972-2780

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NPI Details

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
1363L00000XNurse Practitioner003716CONNECTICUTNo
2363LF0000XNurse PractitionerFamily003716CONNECTICUTYes

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
1D400084655 - C00814MEDICARE PINCONNECTICUT
2004037164MEDICAIDCONNECTICUT
3003716OTHERCONNECTICUTCT LICENSE #
4D400084656 - C00023MEDICARE PINCONNECTICUT

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: 3/30/2025

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