Provider Demographics
NPI:1720026073
Name:CRABTREE, MARJORIE M (NP)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:M
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 WEST MAIN ST
Mailing Address - Street 2:CAPE COD HOSPITAL SCHOOL BASED HEALTH CENTER
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-790-7200
Mailing Address - Fax:508-790-3280
Practice Address - Street 1:744 WEST MAIN ST
Practice Address - Street 2:CAPE COD HOSPITAL SCHOOL BASED HEALTH CENTER
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-790-7200
Practice Address - Fax:508-790-3280
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA139907363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P02349Medicare UPIN
NP2296Medicare ID - Type Unspecified