Individual
AMELIA SPARROW HENAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8975
Mailing address
300 LONGWOOD AVE, FEGAN 3, DEPT OF SURGERY, BOSTON, MA 02115-5724
(617) 224-7633
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN283155
MA
Other
Enumeration date
07/27/2012
Last updated
10/24/2019
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