Individual
MIRANDA HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1018 E NEW CIRCLE RD STE 205, LEXINGTON, KY 40505-4138
(859) 303-5918
(859) 303-5918
Mailing address
1018 E NEW CIRCLE RD STE 205, LEXINGTON, KY 40505-4138
(859) 303-5918
(859) 303-5918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3016004
KY
Other
Enumeration date
01/10/2021
Last updated
11/08/2024
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