Mary Elizabeth Groth
A.P.R.N., P.M.H.S. | Nurse Practitioner - Pediatrics
59 Lyme Street, Old Lyme
Connecticut, 06371
860-373-6208
Mary Elizabeth Groth is a Old Lyme, Connecticut based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mary Elizabeth Groth is 001632 for Pediatrics in Connecticut. Her current practice location is 59 Lyme Street, Old Lyme. Patients can reach her at 860-373-6208 or can fax her at 860-434-1580. Mary Elizabeth Groth is A.P.R.N., P.M.H.S. with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1508849076.
Mary Elizabeth Groth specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mary Elizabeth Groth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary Elizabeth Groth |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | A.P.R.N., P.M.H.S. |
| Practice Address: | 59 Lyme Street, Old Lyme,
Connecticut, 06371 |
| Phone: | 860-373-6208 |
| Fax: | 860-434-1580 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1508849076 |
| NPI Enumeration Date: | 29 Nov, 2005 |
| NPI Last Update On: | 12 Dec, 2017 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Elizabeth Groth are as mentioned below.
| License Number | Specialization | State | Status | |
| 001632 | Pediatrics | Connecticut | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Elizabeth Groth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 004200391 | Medicaid | Connecticut | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Elizabeth Groth
P.o. Box 589, 59 Lyme Street
Old Lyme, Connecticut |
| Zip: | 06371 |
| Phone Number: | 860-373-6208 |
| Fax Number: | 860-434-1580 |
Patients can reach Mary Elizabeth Groth at
59 Lyme Street, Old Lyme, Connecticut or can
call to book an appointment on 860-373-6208.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.