Provider Demographics
NPI:1811674609
Name:HAFFNER, EMILY TRUE (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:TRUE
Last Name:HAFFNER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-2201
Mailing Address - Country:US
Mailing Address - Phone:781-316-4463
Mailing Address - Fax:
Practice Address - Street 1:11 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-2201
Practice Address - Country:US
Practice Address - Phone:781-316-4463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2301116163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse