Individual provider · Type 1 NPI

Amy Hagen

Primary Care Nurse Practitioner · Mankato, MN

NPI number 1174938880 Active

Practice location

1025 Marsh St
Mankato, MN 56001-4752

Mailing address

320 Grovebrook Ct
Mankato, MN 56001-5499

Other practice locations

  • 201 N Victory Dr, #211, Mankato, MN 56001-5396 · (507) 387-5581

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X185061-5 (MN)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1174938880

Amy Hagen's National Provider Identifier is 1174938880, issued on Jun 23, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Mankato, MN. The record was last updated on Oct 26, 2020.