Hiam, Deirdre R

Hiam, Deirdre R is an individual health care provider with primary practice located at 1 Lamplighter Way , Mount Hermon MA 01354-9637. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / School. Physician Assistants & Advanced Practice Nursing Providers / School is her primary health care specialty. Hiam, Deirdre R can be contacted via phone (413) 498-3407.

Contact Information

Primary practice address
1 Lamplighter Way Mount Hermon MA 01354-9637
Phone: (413) 498-3407
Fax: (413) 498-3147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 228669 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 228669 Massachusetts

Profile Details

NPI number 1366654089
LBN Legal business name Hiam, Deirdre R
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Sep 29th, 2016 - about 8 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 1366654089 NPPES
Massachusetts Other 228669 CONNECTICARE
Massachusetts MEDICAID 0713457 CONNECTICARE
Massachusetts Other 126842 CONNECTICARE
Massachusetts Other NP9544 CONNECTICARE

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