Provider Demographics
NPI:1093300162
Name:CRONIN, MARY ELIZABETH (RN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ELIZABETH
Last Name:CRONIN
Suffix:
Gender:F
Credentials:RN, PMHNP-BC
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Mailing Address - Street 1:369 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MA
Mailing Address - Zip Code:02738-1538
Mailing Address - Country:US
Mailing Address - Phone:508-748-3736
Mailing Address - Fax:508-748-3736
Practice Address - Street 1:369 FRONT ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MA
Practice Address - Zip Code:02738-1538
Practice Address - Country:US
Practice Address - Phone:508-748-3736
Practice Address - Fax:508-748-3736
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2302547163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse