Individual
EILEEN HEGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
33 BARTLETT ST, SUITE 305, LOWELL, MA 01852-1334
(978) 452-2200
(978) 441-2550
Mailing address
60 BALLARD RD, PELHAM, NH 03076-2947
(978) 452-2200
(978) 441-2550
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
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