Individual
DEIRDRE R HIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
(978) 221-6728
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
(978) 221-6728
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
228669
MA
363LS0200X
School Nurse Practitioner
Primary
228669
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713457
—
MA
01
—
126842
FALLON
MA
01
—
228669
CONNECTICARE
MA
01
—
NP9544
BCBSMA
MA
Enumeration date
05/04/2007
Last updated
04/01/2026
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