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MRS. MARYANN H. PASS CNP
NPI 1649336116
Nurse Practitioner - Women's Health in Alton, IL

Active since December 29, 2006
2 MEMORIAL DR, SUITE 122, ALTON, IL 62002(618) 465-2550(618) 462-4167 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Maryann H. Pass Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARYANN H. PASS CNP (NPI 1649336116) is an individual women's health provider in Alton, Illinois, licensed in Illinois (209001958) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1649336116
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. MARYANN H. PASSCredential: CNP
Location Address2 MEMORIAL DR, SUITE 122Alton, IL 62002-6723
Mailing Address2 Memorial Dr, Suite 122Alton, IL 62002-6723 · (618) 465-2550 · Fax (618) 462-4167
Phone(618) 465-2550
Fax(618) 462-4167
Sole ProprietorNo
Enumeration DateDecember 29, 2006
Last NPPES UpdateOctober 11, 2012
✔ NPI 1649336116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IL · 209001958
Also ListedRegistered NurseTaxonomy 163W00000X · License 041272946 (IL), 123658 (MO)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 123658 (MO)
2 MEMORIAL DR, Alton, IL 62002
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Other Names 1

Former Name (1)Maryann H. Kopperman

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UROOJ WASEY
Family Medicine
2 MEMORIAL DR, MEDICAL OFFICE BLDG. A, SUITE 220
ALTON, IL 62002
Madison County (618) 474-1723
MSA ALLIANCE, LLC
Surgery (Vascular Surgery)
2 MEMORIAL DR, SUITE 201
ALTON, IL 62002
Madison County (618) 222-1020
DR. ANNE UGABI MD
Family Medicine
2 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Internal Medicine
2 MEMORIAL DR, SUITE 220
ALTON, IL 62002
Madison County (618) 462-3191
JONATHAN ANDREW LIN MD
Family Medicine
2 MEMORIAL DR, MEDICAL OFFICE BLDG, A, SUITE 220
ALTON, IL 62002
Madison County (618) 474-1723
STEIN UROLOGY, S C
Urology
2 MEMORIAL DR, SUITE 101
ALTON, IL 62002
Madison County (618) 462-0710
ONOME MIRIAM ABIANDU
Student in an Organized Health Care Education/Training Program
2 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 474-1723
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2 MEMORIAL DR, SUITE 122
ALTON, IL 62002
Madison County (618) 465-2550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryann Pass's NPI number?

The NPI number for Maryann Pass is 1649336116. It was assigned to this individual provider in the NPPES registry on December 29, 2006. The provider is also known as Maryann H. Kopperman.

Where is Maryann Pass located?

Maryann Pass practices at 2 Memorial Dr Suite 122, Alton, IL 62002. The listed phone number is (618) 465-2550.

What is Maryann Pass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Maryann Pass was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.