Individual
MRS. KAREN DIANE HAGGERTY-HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405
(336) 641-4717
(336) 641-5777
Mailing address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-4717
(336) 641-5777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0050-02630
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114067220
—
NC
Enumeration date
02/07/2007
Last updated
01/05/2024
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