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Individual

MS. FLORENCE HAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 383-8500
Mailing address
1605 DOROTHY LN, WOODBRIDGE, VA 22191-3480
(703) 680-0235

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
0001196719
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024181870
VA

Other

Enumeration date
09/15/2010
Last updated
05/02/2023
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