Provider Demographics
NPI:1427244797
Name:CRONIN, MARCIA JANET (RN)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:JANET
Last Name:CRONIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 W 1ST AVE
Mailing Address - Street 2:#220
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3427
Mailing Address - Country:US
Mailing Address - Phone:614-485-2347
Mailing Address - Fax:614-485-2561
Practice Address - Street 1:1504 W 1ST AVE
Practice Address - Street 2:#220
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3427
Practice Address - Country:US
Practice Address - Phone:614-485-2347
Practice Address - Fax:614-485-2561
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.229503163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health