MEDICARE: MRS. ELENA MARIE MARI RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN360594	MA

General Provider Information

NPI Number	:	1922955129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELENA MARIE MARI RN

Provider Business Mailing Address
First Line	:	55 FOGG RD
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02190-2432
Country	:	US
Telephone Number	:	781-627-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 POND PARK RD
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4347
Country	:	US
Telephone Number	:	781-624-2880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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