Provider Demographics
NPI:1972099026
Name:MASSRI, HALI ANN (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:HALI
Middle Name:ANN
Last Name:MASSRI
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:HALI
Other - Middle Name:ANN
Other - Last Name:KOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:47 HIGH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2146
Mailing Address - Country:US
Mailing Address - Phone:774-253-2846
Mailing Address - Fax:
Practice Address - Street 1:200 MAY ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-5520
Practice Address - Country:US
Practice Address - Phone:508-761-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2306738363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health