Individual provider · Type 1 NPI
Mary Ann Haggerty, NP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1881799633
Active
Practice location
3900 Woodland Ave
Philadelphia, PA 19104
Fax (215) 823-4182
Mailing address
5224 Oleander Rd
Drexel Hill, PA 19026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | TP003485H (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1881799633
Mary Ann Haggerty, NP's National Provider Identifier is 1881799633, issued on Sep 14, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.