Individual provider · Type 1 NPI
Maryanne Hagar, APRN
Gerontology Nurse Practitioner · Shelton, CT
NPI number
1255384228
Active
Practice location
Six Corporate Drive, Suite 420
Shelton, CT 06484
Fax (203) 926-0594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 002546 (CT) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 002546 (CT) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 002546 (CT) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Shelton
About NPI 1255384228
Maryanne Hagar, APRN's National Provider Identifier is 1255384228, issued on May 18, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shelton, CT. The record was last updated on Nov 21, 2017.