Provider Demographics
NPI:1316059785
Name:MARRE, MAUREEN J (NP)
Entity type:Individual
Prefix:MISS
First Name:MAUREEN
Middle Name:J
Last Name:MARRE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:267 W SQUANTUM ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-2820
Mailing Address - Country:US
Mailing Address - Phone:617-328-3260
Mailing Address - Fax:
Practice Address - Street 1:151 EVERETT AVE
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-1812
Practice Address - Country:US
Practice Address - Phone:617-884-8300
Practice Address - Fax:617-889-9579
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA137140363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner