MRS. MARYANN H. PASS CNP NPI 1649336116

NPI Information

NPI: 1649336116
Provider Name: MRS. MARYANN H. PASS, CNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
2 MEMORIAL DR
SUITE 122
ALTON, IL
ZIP 62002
Phone: (618) 465-2550
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MRS. Maryann H. Pass, CNP is a women's health nurse practitioner in Alton, IL. MRS. Maryann H. Pass, CNP NPI is 1649336116. 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:

2 MEMORIAL DR
SUITE 122
ALTON, IL
ZIP 62002-723
Phone: (618) 465-2550
Fax: (618) 462-4167

The enumeration date for this NPI number is 12/29/2006 and was last updated on 10/11/2012.

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	163W00000X	Registered Nurse		041272946	ILLINOIS	No
2	163W00000X	Registered Nurse		123658	MISSOURI	No
3	363L00000X	Nurse Practitioner		123658	MISSOURI	No
4	363LW0102X	Nurse Practitioner	Women's Health	209001958	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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