Hagen, Nancy

Hagen, Nancy is an individual health care provider with primary practice located at 1340 Sullivan Ave Prime Healthcare, South Windsor CT 06074-2713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hagen, Nancy can be contacted via phone (860) 644-1521.

Contact Information

Primary practice address
1340 Sullivan Ave Prime Healthcare South Windsor CT 06074-2713
Phone: (860) 644-1521
Fax: (860) 644-3335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 001961 Connecticut

Profile Details

NPI number 1437136140
LBN Legal business name Hagen, Nancy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437136140 NPPES
Connecticut Other 001961 MEDICAL LICENSE

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