IndividualActive
Marnie Frey, APRN
NPI 1164864005 · Pediatric Nurse Practitioner · Trumbull, CT
Provider details
- NPI number
- 1164864005
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3707 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4141 Madison Ave
Trumbull, CT 06611-3506
Phone: (203) 371-8790
Fax: (203) 373-0463
Street-level locationGet directions
Mailing address
228 Hulls Hwy
Southport, CT 06890-1185
Registry dates
- Enumerated
- 2013-07-19
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.