Individual
EILEEN HEGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
251543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251543
STATE LICENSE
MA
01
—
MH0655033I
MA CONTROL SUBSTANCE
MA
Enumeration date
02/28/2007
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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