Individual
VIRGINIA HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10 CRILLON RD, WORCESTER, MA 01605-2308
(774) 641-5565
Mailing address
10 CRILLON RD, WORCESTER, MA 01605-2308
(774) 641-5565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN279197
MA
Other
Enumeration date
02/06/2013
Last updated
12/05/2023
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