Sean Haggerty, PMHNP-BC | |
1318 W Castro Dr, Kuna, ID 83634-3366 | |
(307) 220-4071 | |
Not Available |
Full Name | Sean Haggerty |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1318 W Castro Dr, Kuna, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245935113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 56647 (Idaho) | Primary |
Entity Name | Idaho Tms |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841857513 PECOS PAC ID: 5698100840 Enrollment ID: O20200115002240 |
Mailing Address | Practice Location Address |
---|---|
Sean Haggerty, PMHNP-BC 1318 W Castro Dr, Kuna, ID 83634-3366 Ph: (208) 906-4073 | Sean Haggerty, PMHNP-BC 1318 W Castro Dr, Kuna, ID 83634-3366 Ph: (307) 220-4071 |
Selah Worley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13500 Pleasant Vly Rd, Kuna, ID 83634 Phone: 208-336-0740 | |
Anthony Bruce Reece, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14601 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-331-2760 | |
Mr. Jared Tripper Povar, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13400 S Pleasant Valley Rd, Isci Medical, Kuna, ID 83634 Phone: 208-336-0740 | |
Sara Joanne Mitchem, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2286 Poen Rd, Kuna, ID 83634 Phone: 208-830-2518 | |
Mr. Rex O Underwood Ii, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13900 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-333-0037 | |
Mr. William Lincoln Poulson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13500 South Pleasant Valley Road, Kuna, ID 83634 Phone: 208-371-7468 |