Provider Demographics
NPI:1053504613
Name:CRON, MARLENE LOUISE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:LOUISE
Last Name:CRON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47547-0729
Mailing Address - Country:US
Mailing Address - Phone:812-482-2233
Mailing Address - Fax:
Practice Address - Street 1:499 W STATE ROAD 62
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47601-9169
Practice Address - Country:US
Practice Address - Phone:812-482-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28141982A163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management