Marylou Cassidy, APRN
Individual provider Active NPI Family Nurse Practitioner · Dublin, NH
NPI 1689934945 · NPPES record last updated Dec 27, 2022
Key facts
- NPI
- 1689934945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 046567-23 (NH)
- Practice address
- 1283 Main St Unit 6C
Dublin, NH 03444-8249 - Phone
- (603) 831-1191
- Fax
- (833) 924-0345
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201211002234 | NH | Practitioner - Nurse Practitioner | 1850548348 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Health & Wellness Clinic | Family | Current |
Accepting new patients |
| Elliot Physicians Network | Past | Accepting new patients | |
| Centers for Pain Solutions,LLC | Past | Accepting new patients |
Locations
1283 Main St
Unit 6C
Dublin, NH 03444
Phone (603) 831-1191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 046567-23 | NH | Yes |
Addresses
Primary practice location
1283 Main St Unit 6C
Dublin, NH 03444-8249
Mailing address
21 Reaveley Rd
Hancock, NH 03449-5501
Phone (603) 525-4786
Other providers in Dublin, NH
- Erin Lyn Burns
- Children'S Dentistry of Dublin PLLC
- Ross Whitney Davidson
- Ross A Garofalo
- Granite Counseling and Psychological Services, LLC
- Integrative Health & Wellness Clinic
All providers in Dublin, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.