Doctor Name: | MARY MAY HAERER |
NPI Number: | 1215346366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, AGPCNP-BC |
License Number: | RN2292514 |
Business Practice Address: | 191 Lower St Shelburne Falls, MA - 013709402 |
Business Phone Number: | 4136259300 |
Business Fax Number: | |
Mailing Address: | 191 Lower St, SHELBURNE FALLS |
State: | MA |
Postal Code: | 013709402 |
Phone Number: | 4136259300 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2014 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | RN2292514 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |