Individual provider · Type 1 NPI
Analise Elisabeth Hagstrom, NP
Nurse Practitioner · Mill Valley, CA
Practice location
591 Redwood Hwy Frontage Rd Ste 5215
Mill Valley, CA 94941-3016
Mailing address
101 H St Ste G
Petaluma, CA 94952-5100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95003570 (CA) |
| Pediatric Nurse Practitioner | 363LP0200X | 209012443 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1104296409
Analise Elisabeth Hagstrom, NP's National Provider Identifier is 1104296409, issued on Sep 29, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mill Valley, CA. The record was last updated on Oct 22, 2025.