Provider Demographics
NPI:1740344407
Name:PASCALE, MARIANNE P (APRN)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:P
Last Name:PASCALE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:P
Other - Last Name:ZAMBARANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1 TOWNE PARK PLZ
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2247
Mailing Address - Country:US
Mailing Address - Phone:860-887-0010
Mailing Address - Fax:860-887-8143
Practice Address - Street 1:1 TOWNE PARK PLZ
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2247
Practice Address - Country:US
Practice Address - Phone:860-887-0010
Practice Address - Fax:860-887-8143
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001550363LF0000X
VA0024168616363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily