Individual
JEAN MORGAN HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
175 N. MEDICAL DRIVE EAST, 5TH FLOOR, UNIV OF UTAH, SALT LAKE CITY, UT 84132
(801) 581-6908
(801) 581-4385
Mailing address
UNIV OF UTAH, 175 N. MEDICAL DRIVE EAST, 5TH FLOOR, SALT LAKE CITY, UT 84132-0001
(801) 581-6908
(801) 581-4385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6830220-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01016140
RAILROAD MEDICARE
UT
Enumeration date
07/07/2011
Last updated
08/13/2012
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