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Contact Information

CARLA T HADDOCK, FNP-C
277 W CHALAN SANTO PAPA
HAGATNA, GU96910-5115
 Phone: 671-486-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CARLA T HADDOCK · (Female)

NPI # 1710473996
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 07/10/2018
Last updated 09/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • GU License # NP0187
  • GU License # RX0607
  • GU Other NP0187 NP LICENSE
  • GU Other RX0607 RN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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