Provider Demographics
NPI:1285844738
Name:SLOANE, MARTHA ANNE (NP)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:ANNE
Last Name:SLOANE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:124 WATERTOWN ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-2576
Mailing Address - Country:US
Mailing Address - Phone:617-916-5069
Mailing Address - Fax:781-803-3017
Practice Address - Street 1:1681 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-7948
Practice Address - Country:US
Practice Address - Phone:781-348-9041
Practice Address - Fax:413-341-1789
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA154126363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health