Individual
MRS. AMY HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
320 GROVEBROOK CT, MANKATO, MN 56001-5499
(320) 583-6034
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
185061-5
MN
Other
Enumeration date
06/23/2014
Last updated
10/26/2020
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