Individual provider · Type 1 NPI
Mary Elizabeth Hagan, FNP
Family Nurse Practitioner · Salt Lake City, UT
NPI number
1831127901
Active
Practice location
500 Foothill Dr
Salt Lake City, UT 84148-0001
Fax (801) 584-2532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 198920-8900 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1831127901
Mary Elizabeth Hagan, FNP's National Provider Identifier is 1831127901, issued on Jun 29, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.