MARYANNE O'TOOLE NP NPI 1376623645

NPI Information

NPI: 1376623645
Provider Name: MARYANNE O'TOOLE, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
49 HARRY KEMP WAY
PROVINCETOWN, MA
ZIP 02657
Phone: (508) 487-9395
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Maryanne O'toole, NP is an adult health nurse practitioner in Provincetown, MA with 32 years of experience. Maryanne O'toole, NP NPI is 1376623645. 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:

49 HARRY KEMP WAY
PROVINCETOWN, MA
ZIP 02657
Phone: (508) 487-9395
Fax: (508) 487-3285

The NPI 1376623645 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 10/17/2006 and was last updated on 12/8/2011.

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	363LA2200X	Nurse Practitioner	Adult Health	190922	MASSACHUSETTS	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	S31656	MEDICARE UPIN	MASSACHUSETTS
2	0710822	MEDICAID	MASSACHUSETTS
3	NP0166	OTHER	MASSACHUSETTS	CONNECTICARE
4	NP0166	MEDICARE PIN	MASSACHUSETTS
5	NP0166	OTHER	MASSACHUSETTS	BLUE CROSS

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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