Individual
MS. MARTHA JANE HAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN-BC, WHNP
Contact information
Practice address
259 NORTH ST STE 1A, HYANNIS, MA 02601-3834
(508) 568-9311
Mailing address
235 OCALLAGHAN WAY, LYNN, MA 01905
(781) 592-8675
(781) 592-8695
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
167151
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN167151
MA
Other
Enumeration date
05/05/2008
Last updated
05/08/2025
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