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MIA HADDAD ACCNS-AG
NPI 1790393502
Clinical Nurse Specialist - Acute Care in Boston, MA

Active since July 17, 2020

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mia Haddad Accns-ag NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA HADDAD ACCNS-AG (NPI 1790393502) is an individual acute care provider in Boston, Massachusetts, licensed in Massachusetts (RN2274345) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1790393502
Entity TypeIndividualFemale
Primary Taxonomy364SA2100X
Provider Legal NameMIA HADDADCredential: ACCNS-AG
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address52 Oregon RdSouthborough, MA 01772-2015 · (603) 505-0152
Phone(617) 724-2321
Sole ProprietorYes
Enumeration DateJuly 17, 2020
NPPES CertifiedJuly 17, 2020
✔ NPI 1790393502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2100X
License✔ Licensed in MA · RN2274345
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Haddad's NPI number?

The NPI number for Mia Haddad is 1790393502. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Where is Mia Haddad located?

Mia Haddad practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-2321.

What is Mia Haddad's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Acute Care, with taxonomy code 364SA2100X.

When was this NPI record last updated?

The NPPES record for Mia Haddad was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.