Individual
MARY ANN HETTICH-KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNS PSYCH
Contact information
Practice address
259 NORTH ST # A, HYANNIS, MA 02601-3834
(508) 862-0514
(508) 862-0514
Mailing address
259 NORTH ST # A, HYANNIS, MA 02601-3834
(508) 862-0514
(508) 862-9184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
197116
MA
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
197116
MA
Other
Enumeration date
02/23/2007
Last updated
10/07/2025
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