Mary E Groth, APRN, PMHS
Nurse Practitioner, Pediatrics in Old Lyme, Connecticut
1508849076- Practice location
- 59 Lyme Street, Old Lyme, CT 06371
- Phone
- 860-373-6208
- Fax
- 860-434-1580
- Last updated
- December 12, 2017
Mary Elizabeth Groth is a Nurse Practitioner, Pediatrics based in Old Lyme, CT. Mary Elizabeth Groth practices in Old Lyme, CT and has the professional credentials of APRN, PMHS. The NPI Number for Mary Elizabeth Groth is 1508849076 and holds a License No. 001632 (CT). The current practice location address for Mary Elizabeth Groth is 59 Lyme Street, Old Lyme, CT 06371 and can be reached out via phone at 860-373-6208 and via fax at 860-434-1580.
Provider Profile Details
- NPI Number
- 1508849076
- Provider Name
- Mary Elizabeth Groth
- Credential
- APRN, PMHS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 59 Lyme Street, Old Lyme, CT 06371
- Phone Number
- 860-373-6208
- Fax Number
- 860-434-1580
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 29, 2005
- Last Update Date
- December 12, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 59 Lyme Street
Old Lyme, CT 06371 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371
- Phone Number
- 860-373-6208
- Fax Number
- 860-434-1580
Provider Business Mailing Address Details
- Address
- P.o. Box 589
59 Lyme Street
Old Lyme, CT 06371 - City
- Old Lyme
- State
- CT
- Zip
- 06371
- Phone Number
- 860-373-6208
- Fax Number
- 860-434-1580
License Information
- License Number
- 001632
- License State
- CT
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mary E Groth, APRN, PMHS?
The NPI number of Mary E Groth, APRN, PMHS is 1508849076. It was assigned on November 29, 2005 and is currently active in the NPPES registry.
What is the specialty of Mary E Groth, APRN, PMHS?
Mary E Groth, APRN, PMHS is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 001632.
Where does Mary E Groth, APRN, PMHS practice?
The practice location is 59 Lyme Street, Old Lyme, CT 06371. The office can be reached at 860-373-6208 (phone) or 860-434-1580 (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 1508849076 directly on the NPPES registry website.