Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Irene Sandra Haggarty

Individual provider Adult Health Nurse Practitioner · NPI 1265706790

Irene Sandra Haggarty is a Nurse Practitioner in Troy, Michigan. Qualified in 2003, 23 years ago. Practices with University Physician Group, a 402-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Michigan.

Years since qualifying
23
Licensed in
MD, MI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

44199 Dequindre Rd Ste 315
Troy, MI 48085-1128
Phone: (248) 964-1466
Fax: (248) 964-1464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9030 Old Georgetown Rd, Bethesda, MD 20814-1519 — (301) 496-6620

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704348204 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 148944 (MD)

Record details

NPI number1265706790
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2012
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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