Active NPI
Marianne Bove, CRNP
- Pediatric Nurse Practitioner
- Erie, PA
National Provider Identifier
1861861270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- UP004989D
- Practice address
- 3330 Peach St
Suite 106
Erie, PA 16508-2769 - Phone
- (814) 877-8586
- Fax
- (814) 877-8591
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | UP004989D | PA | Primary |
Addresses
Primary practice location
3330 Peach St
Suite 106
Erie, PA 16508-2769
Mailing address
11279 Perry Hwy
Suite 450
Wexford, PA 15090-9381
Phone (724) 933-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UP004989D | PA | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- mbove43340@upmc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1861861270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11279 PERRY HWY",
"address_2": "SUITE 450",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909381",
"telephone_number": "724-933-1100",
"fax_number": "724-933-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 PEACH ST",
"address_2": "SUITE 106",
"city": "ERIE",
"state": "PA",
"postal_code": "165082769",
"telephone_number": "814-877-8586",
"fax_number": "814-877-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVE",
"first_name": "MARIANNE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "UP004989D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.