Healthcare Provider Details

I. General information

NPI: 1902715121
Provider Name (Legal Business Name): MARION CRONIN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 OLD CANAL DR
LOWELL MA
01851-2730
US

IV. Provider business mailing address

49 HEALD ST
PEPPERELL MA
01463-1254
US

V. Phone/Fax

Practice location:
  • Phone: 978-452-5155
  • Fax:
Mailing address:
  • Phone: 978-852-1327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN667755
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: