Individual
REBECCA MABEL HAGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2925 SKYWAY CIR N, IRVING, TX 75038-3510
(972) 639-5838
Mailing address
1412 PARK PLACE AVE APT 337, BEDFORD, TX 76022-5859
(682) 597-8698
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP135728
TX
Other
Enumeration date
10/09/2017
Last updated
11/20/2017
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