Provider Demographics
NPI:1942213608
Name:HADDEN, MARTHA LOWE (MS RN CS)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:LOWE
Last Name:HADDEN
Suffix:
Gender:F
Credentials:MS RN CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 HANFT KNLS
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-3257
Mailing Address - Country:US
Mailing Address - Phone:919-968-8787
Mailing Address - Fax:
Practice Address - Street 1:112 HANFT KNLS
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-3257
Practice Address - Country:US
Practice Address - Phone:919-968-8787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRN 107909163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC107909OtherRN LICENSE
NC2596294Medicare ID - Type Unspecified