Mrs. Marianne Connelly, FNP
Nurse Practitioner in Revere, Massachusetts
1164671194- Practice location
- 385 Broadway Ste 4, Revere, MA 02151-3059
- Phone
- 781-485-1000
- Fax
- 781-286-5418
- Last updated
- May 22, 2023
Marianne Connelly is a Nurse Practitioner based in Revere, MA. Marianne Connelly practices in Revere, MA and has the professional credentials of FNP. The NPI Number for Marianne Connelly is 1164671194 and holds a License No. 263434 (MA). The current practice location address for Marianne Connelly is 385 Broadway Ste 4, Revere, MA 02151-3059 and can be reached out via phone at 781-485-1000 and via fax at 781-286-5418.
Provider Profile Details
- NPI Number
- 1164671194
- Provider Name
- Marianne Connelly
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 385 Broadway Ste 4, Revere, MA 02151-3059
- Phone Number
- 781-485-1000
- Fax Number
- 781-286-5418
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Other Names
- Marianne Corley, NP (Former Name)
- Provider Enumeration Date
- September 15, 2008
- Last Update Date
- May 22, 2023
- Certification Date
- May 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 Broadway Ste 4
Revere, MA 02151-3059 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3059
- Phone Number
- 781-485-1000
- Fax Number
- 781-286-5418
Provider Business Mailing Address Details
- Address
- 385 Broadway Ste 4
Revere, MA 02151-3059 - City
- Revere
- State
- MA
- Zip
- 02151-3059
- Phone Number
- 781-485-1000
- Fax Number
- 781-286-5418
License Information
- License Number (1)
- 263434
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- RN263434
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near Revere, MA
View all Nurse Practitioners in Revere →Frequently Asked Questions
What is the NPI number of Mrs. Marianne Connelly, FNP?
The NPI number of Mrs. Marianne Connelly, FNP is 1164671194. It was assigned on September 15, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Marianne Connelly, FNP?
Mrs. Marianne Connelly, FNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 263434.
Where does Mrs. Marianne Connelly, FNP practice?
The practice location is 385 Broadway Ste 4, Revere, MA 02151-3059. The office can be reached at 781-485-1000 (phone) or 781-286-5418 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164671194 directly on the NPPES registry website.