Hagerty, Marylouise

Hagerty, Marylouise is an individual health care provider with primary practice located at 2623 So. Seacrest Blvd # 216, Boynton Beach FL 33435. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Hagerty, Marylouise can be contacted via phone (561) 742-0065.

Contact Information

Primary practice address
2623 So. Seacrest Blvd # 216 Boynton Beach FL 33435
Phone: (561) 742-0065
Fax: (561) 742-0105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1602362 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP1602362 Florida

Profile Details

NPI number 1306813811
LBN Legal business name Hagerty, Marylouise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 8th, 2010 - about 16 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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