Judith H Haupt, RNC

Individual provider Active NPI Adult Health Nurse Practitioner · Turners Falls, MA

NPI 1023099884 · NPPES record last updated Jun 17, 2010

Key facts

NPI
1023099884
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
153467 (MA)
Practice address
8 Burnham St
Turners Falls, MA 01376-1816
Phone
(413) 774-3751
Fax
(413) 775-9137
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
153467MAMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 153467 MA Yes

Addresses

Primary practice location

8 Burnham St
Turners Falls, MA 01376-1816

Mailing address

8 Burnham St
Turners Falls, MA 01376-1816
Phone (413) 774-3751

Other identifiers

IdentifierTypeStateIssuer
9758038MedicaidMA

Other providers in Turners Falls, MA

All providers in Turners Falls, MA · Adult Health Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.