Active NPIIndividual providerSole proprietor

Mia Haddad, ACCNS-AG

Clinical Nurse Specialist, Acute Care in Boston, Massachusetts

NPI Number1790393502
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
—
Last updated
July 17, 2020

Mia Haddad is a Clinical Nurse Specialist, Acute Care based in Boston, MA. Mia Haddad practices in Boston, MA and has the professional credentials of ACCNS-AG. The NPI Number for Mia Haddad is 1790393502 and holds a License No. RN2274345 (MA). The current practice location address for Mia Haddad is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 617-724-2321.

Provider Profile Details

NPI Number
1790393502
Provider Name
Mia Haddad
Credential
ACCNS-AG
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
617-724-2321
Primary Taxonomy
Clinical Nurse Specialist, Acute Care · 364SA2100X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2020
Last Update Date
July 17, 2020
Certification Date
July 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
617-724-2321
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
52 Oregon RD
Southborough, MA 01772-2015
City
Southborough
State
MA
Zip
01772-2015
Phone Number
603-505-0152

License Information

License Number
RN2274345
License State
MA
Taxonomy
Clinical Nurse Specialist, Acute Care · 364SA2100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mia Haddad, ACCNS-AG?

The NPI number of Mia Haddad, ACCNS-AG is 1790393502. It was assigned on July 17, 2020 and is currently active in the NPPES registry.

What is the specialty of Mia Haddad, ACCNS-AG?

Mia Haddad, ACCNS-AG is registered under the primary taxonomy Clinical Nurse Specialist, Acute Care (code 364SA2100X), licensed in MA under license number RN2274345.

Where does Mia Haddad, ACCNS-AG practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 617-724-2321 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790393502 directly on the NPPES registry website.

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