Individual
SANDRA KAY HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
942 W CHESTNUT ST, BROCKTON, MA 02301-5567
(508) 583-3005
(508) 583-9809
Mailing address
7 SANDY POINT RD, LAKEVILLE, MA 02347-2582
(508) 947-4993
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
145870
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP2432
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
05/23/2006
Last updated
07/08/2007
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