Provider Demographics
NPI:1124788682
Name:MARZOCCHI, CRYSTALMARIE ASTERIA (APRN PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CRYSTALMARIE
Middle Name:ASTERIA
Last Name:MARZOCCHI
Suffix:
Gender:
Credentials:APRN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 KILLIAN RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-1903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:38 AMARAL ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2205
Practice Address - Country:US
Practice Address - Phone:401-521-5800
Practice Address - Fax:401-827-1933
Is Sole Proprietor?:No
Enumeration Date:2021-12-26
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN02967363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health