Individual provider · Type 1 NPI

Nicole Alexandra Hagen

Physician Assistant · Fort Wayne, IN

NPI number 1093503583 Active

Practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

Call (260) 425-6780 Map

Fax (260) 425-6615

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10004914A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093503583

Nicole Alexandra Hagen's National Provider Identifier is 1093503583, issued on Apr 25, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 2, 2025.