Provider Demographics
NPI:1871538918
Name:PRATTE, MARCIA KAYE (APRN,BC)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:KAYE
Last Name:PRATTE
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 BRICKETT HILL CIR
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-1581
Mailing Address - Country:US
Mailing Address - Phone:978-521-3451
Mailing Address - Fax:
Practice Address - Street 1:1 ELM SQ
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3643
Practice Address - Country:US
Practice Address - Phone:978-470-0520
Practice Address - Fax:978-475-1181
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA145325163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health