Haggard, Mary Kathryn

Haggard, Mary Kathryn is an sole proprietor health care provider with primary practice located at 2510 Douglas Blvd Ste 200 , Roseville CA 95661-3301. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Haggard, Mary Kathryn can be contacted via phone (916) 773-1191.

Contact Information

Primary practice address
2510 Douglas Blvd Ste 200 Roseville CA 95661-3301
Phone: (916) 773-1191
Fax: (916) 773-0498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 468668 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17870 California

Profile Details

NPI number 1144406380
LBN Legal business name Haggard, Mary Kathryn
Credentials RN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2008
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144406380 NPPES
California Other 17870 BRN/NURSE PRACTITIONER
California Other 468668 BRN/NURSE PRACTITIONER

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