Individual provider · Type 1 NPI

Carolyn Hagerty, FNP-BC

Family Nurse Practitioner · Bloomington, IL

NPI number 1942954169 Active

Practice location

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112

Mailing address

611 W Park St, Fapc
Urbana, IL 61801-2500

Other practice locations

  • 1603 Visa Dr, Normal, IL 61761-2131 · (309) 268-9000
  • 908 N Elm St Ste 301, Hinsdale, IL 60521-3625 · (630) 794-9999

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X2029.024736 (IL)
Family Nurse Practitioner Primary 363LF0000X209.024736 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1942954169

Carolyn Hagerty, FNP-BC's National Provider Identifier is 1942954169, issued on Feb 7, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bloomington, IL. The record was last updated on Oct 3, 2024.