Provider Demographics
NPI:1245309152
Name:FERRINI, MARJORIE (RN, PC)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:FERRINI
Suffix:
Gender:F
Credentials:RN, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01373-9726
Mailing Address - Country:US
Mailing Address - Phone:413-665-8511
Mailing Address - Fax:413-665-8501
Practice Address - Street 1:110 N HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:SOUTH DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373-9726
Practice Address - Country:US
Practice Address - Phone:413-665-8511
Practice Address - Fax:413-665-8501
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA116175364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPN0106OtherBCBSMA
MA1060367OtherCIGNA BEHAVIORAL HEALTH
MA1858394Medicaid
MA32094OtherHNE
MA465959OtherTUFTS HEALTH PLAN
MA000000026790OtherBMC HEALTHNET PLAN
MA7853393OtherAETNA BEHAVIORAL HEALTH
MA7853393OtherAETNA BEHAVIORAL HEALTH
MA32094OtherHNE