Provider Demographics
NPI:1558617191
Name:MEARN, MARIANNE THERESA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:THERESA
Last Name:MEARN
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WILKENS DR STE 110
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-5019
Mailing Address - Country:US
Mailing Address - Phone:781-856-4686
Mailing Address - Fax:
Practice Address - Street 1:45 WILL DRIVE
Practice Address - Street 2:UNIT 92
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-3716
Practice Address - Country:US
Practice Address - Phone:781-856-4686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2270347363LP2300X
MA2270347363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily