Haggerty-Hicks, Karen Diane

Haggerty-Hicks, Karen Diane is an individual health care provider with primary practice located at 1100 E Wendover Ave , Greensboro NC 27405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haggerty-Hicks, Karen Diane can be contacted via phone (336) 641-4717.

Contact Information

Primary practice address
1100 E Wendover Ave Greensboro NC 27405
Phone: (336) 641-4717
Fax: (336) 641-5777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0050-02630 North Carolina

Profile Details

NPI number 1114067220
LBN Legal business name Haggerty-Hicks, Karen Diane
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jan 5th, 2024 - about 8 months 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 1114067220 NPPES
North Carolina MEDICAID 1114067220

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