Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 274411 | MA |
NPI | 1003047473 |
---|---|
Provider Name | Ms. Sherine Mary Hassey |
First Address | Westford, MA 01886-3513 |
Second Address | Westford, MA 01886-3513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2009 |
Last Update Date | 06/01/2015 |