Individual
MARY HAGERTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2316 E MEYER BLVD, RESEARCH MEDICAL CENTER, #527, KANSAS CITY, MO 64132-1136
(816) 276-3213
Mailing address
2316 E MEYER BLVD, RESEARCH MEDICAL CENTER, #527, KANSAS CITY, MO 64132-1136
(816) 276-3213
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
NP 104422
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466300
FIRST GUARD
MO
Enumeration date
06/14/2006
Last updated
07/08/2007
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