Provider Demographics
NPI:1265855530
Name:HARDING-FAUTH, REBECCA (RN/NP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HARDING-FAUTH
Suffix:
Gender:F
Credentials:RN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 PILLSBURY RD
Mailing Address - Street 2:
Mailing Address - City:E HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03826-2502
Mailing Address - Country:US
Mailing Address - Phone:978-891-2948
Mailing Address - Fax:978-945-4787
Practice Address - Street 1:191 MERRIMACK ST STE 402
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6199
Practice Address - Country:US
Practice Address - Phone:978-891-4928
Practice Address - Fax:978-945-4787
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN281202363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health