Active NPIIndividual provider

Mrs. Marianne R Glassanos, PNP

Nurse Practitioner, Pediatrics in Brockton, Massachusetts

NPI Number1245200260
Practice location
179 Quincy St, Brockton, MA 02302-2959
Fax
508-427-7755
Last updated
April 1, 2011

Marianne Ruskay Glassanos is a Nurse Practitioner, Pediatrics based in Brockton, MA. Marianne Ruskay Glassanos practices in Brockton, MA and has the professional credentials of PNP. The NPI Number for Marianne Ruskay Glassanos is 1245200260 and holds a License No. 127115 (MA). The current practice location address for Marianne Ruskay Glassanos is 179 Quincy St, Brockton, MA 02302-2959 and can be reached out via phone at 508-427-7700 and via fax at 508-427-7755.

Provider Profile Details

NPI Number
1245200260
Provider Name
Marianne Ruskay Glassanos
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
179 Quincy St, Brockton, MA 02302-2959
Phone Number
508-427-7700
Fax Number
508-427-7755
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2006
Last Update Date
April 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Quincy St
Brockton, MA 02302-2959
Zip
02302-2959
Phone Number
508-427-7700
Fax Number
508-427-7755
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
8 Popes Ln
Hingham, MA 02043-2902
City
Hingham
State
MA
Zip
02043-2902
Phone Number
781-740-1403

License Information

License Number
127115
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Marianne R Glassanos, PNP?

The NPI number of Mrs. Marianne R Glassanos, PNP is 1245200260. It was assigned on January 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Marianne R Glassanos, PNP?

Mrs. Marianne R Glassanos, PNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number 127115.

Where does Mrs. Marianne R Glassanos, PNP practice?

The practice location is 179 Quincy St, Brockton, MA 02302-2959. The office can be reached at 508-427-7700 (phone) or 508-427-7755 (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 1245200260 directly on the NPPES registry website.

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