Provider Demographics
NPI:1881852820
Name:HEALEY, MARTHA W (NP)
Entity Type:Individual
Prefix:MISS
First Name:MARTHA
Middle Name:W
Last Name:HEALEY
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Gender:F
Credentials:NP
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Mailing Address - Street 1:77 WARREN STREET
Mailing Address - Street 2:RM 339
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:617-562-5359
Mailing Address - Fax:617-562-5415
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:ST. MARGARET'S HALL
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2907
Practice Address - Country:US
Practice Address - Phone:617-562-7474
Practice Address - Fax:617-779-6999
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2009-03-16
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Provider Licenses
StateLicense IDTaxonomies
MA176652363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner