Individual
MICHAELA LYNN HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 825-8100
Mailing address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(978) 505-8628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
06/30/2026
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