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NPI Code Detail

MEDICARE: AMELIA SPARROW HENAGHAN N.P

MEDICARE: AMELIA SPARROW HENAGHAN N.P
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerRN283155MA

General Provider Information

NPI Number : 1801142849
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA SPARROW HENAGHAN N.P
Provider Business Mailing Address
First Line : 300 LONGWOOD AVE
Second Line : FEGAN 3, DEPT OF SURGERY
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-8664
Fax Number : 617-730-6920
Provider Business Practice Location Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-8975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2012
Last Update Date : 05/26/2026

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