Individual provider · Type 1 NPI
Miesha Shelly Hagans, CRNP
Family Nurse Practitioner · Abington, PA
NPI number
1679035539
Active
Practice location
1200 Old York Rd
Abington, PA 19001-3720
Mailing address
5753 Dunlap St
Philadelphia, PA 19131-3411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP019984 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679035539
Miesha Shelly Hagans, CRNP's National Provider Identifier is 1679035539, issued on Apr 1, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Abington, PA. The record was last updated on Jul 8, 2021.