Individual
SHARON HAGGERTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
246 WALNUT ST, NEWTON, MA 02460-1639
(617) 244-3322
(617) 244-1827
Mailing address
9 ROSEWOOD CIR, KENNEBUNK, ME 04043-6546
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R03699
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00146667
RRMEDICARE
ME
Enumeration date
05/26/2006
Last updated
07/09/2007
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