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Individual
MS. MARY KATHRYN HAGGARD
Active
Individual
MS. MARY KATHRYN HAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
468668
CA
363LF0000X
Family Nurse Practitioner
Primary
17870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17870
BRN/NURSE PRACTITIONER
CA
01
—
468668
BRN/REGISTERED NURSE
CA
Enumeration date
01/17/2008
Last updated
03/07/2023
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