Most Relevant Information
Provider Data
| NPI Number: | 1003362161 |
| Provider Name: | MARY ELIZABETH HEAGERTY FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 5008863 |
Most Important Dates
| Enumeration Date: | 08/29/2016 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
447 MCALISTER RD
STE 2400
LINCOLNTON
NC
280924114
Practice Location Phone/Fax
| Phone: | 9802126500 |
| Fax: |
Provider Mailing Location
PO BOX 19305
CHARLOTTE
NC
282199305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |