SANDRA KAY HAWORTH APRN BC NPI 1801841697

NPI Information

NPI: 1801841697
Provider Name: SANDRA KAY HAWORTH, APRN, BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
942 W CHESTNUT ST
BROCKTON, MA
ZIP 02301
Phone: (508) 583-3005
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Sandra Kay Haworth, APRN, BC is an adult health nurse practitioner in Brockton, MA. Sandra Kay Haworth, APRN, BC NPI is 1801841697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

942 W CHESTNUT ST
BROCKTON, MA
ZIP 02301-567
Phone: (508) 583-3005
Fax: (508) 583-9809

The enumeration date for this NPI number is 5/23/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	145870	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP2432	OTHER	MASSACHUSETTS	BLUE CROSS & BLUE SHIELD
2	P06481	MEDICARE UPIN
3	NP2432	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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