Individual
MARY ALICE MARSHALL-CRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL OB/GYN DEPT, HARTFORD, CT 06102-5037
(860) 972-2780
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003716
CT
363LF0000X
Family Nurse Practitioner
Primary
003716
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003716
CT LICENSE #
CT
05
—
004037164
—
CT
Enumeration date
03/18/2008
Last updated
04/17/2013
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