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Individual

JOHN THAGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
280 MERRIMACK ST STE 141, LAWRENCE, MA 01843-1780
(508) 901-2044
Mailing address
PO BOX 415258, BOSTON, MA 02241-5258

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
067929-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2293449
MA

Other

Enumeration date
01/24/2020
Last updated
05/08/2025
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