Individual
SEAN HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
13972 TRAPPER LN, CALDWELL, ID 83607-5481
(208) 906-4073
Mailing address
13972 TRAPPER LN, CALDWELL, ID 83607-5481
(208) 906-4073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
56647
ID
Other
Enumeration date
03/31/2023
Last updated
10/08/2025
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