Individual
JOHN MACHARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 FENLEY ST, REVERE, MA 02151-2341
(401) 365-0791
Mailing address
152 FENLEY ST, REVERE, MA 02151-2341
(401) 365-0791
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2369484
MA
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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