Hagstrom, Analise Elisabeth

Hagstrom, Analise Elisabeth is an individual health care provider with primary practice located at 591 Redwood Hwy Frontage Rd Ste 5215 , Mill Valley CA 94941-3016. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hagstrom, Analise Elisabeth can be contacted via phone (415) 381-5400.

Contact Information

Primary practice address
591 Redwood Hwy Frontage Rd Ste 5215 Mill Valley CA 94941-3016
Phone: (415) 381-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95003570 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209012443 Illinois

Profile Details

NPI number 1104296409
LBN Legal business name Hagstrom, Analise Elisabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2015
Last updated Oct 22nd, 2025 - about last year

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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