| Doctor Name: | MS. MARIE MUPRHREE HARTLEY |
| NPI Number: | 1386731115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 1334 |
| Business Practice Address: | 23 Whites Path Ste F S Yarmouth, MA - 026641238 |
| Business Phone Number: | 5087602054 |
| Business Fax Number: | |
| Mailing Address: | 35 Leona Ter, BREWSTER |
| State: | MA |
| Postal Code: | 026311802 |
| Phone Number: | 5088964446 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1334 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |