Provider Demographics
NPI:1083739221
Name:DAGGETT, HOPE (NP)
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:
Last Name:DAGGETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 CHURCH ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-1962
Mailing Address - Country:US
Mailing Address - Phone:781-826-3838
Mailing Address - Fax:781-826-3846
Practice Address - Street 1:243 CHURCH ST
Practice Address - Street 2:SUITE E
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-1962
Practice Address - Country:US
Practice Address - Phone:781-826-3838
Practice Address - Fax:781-826-3846
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA177404363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health