Individual
JULIANA HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 E STATE ST, MEDIA, PA 19063-3434
(610) 891-9277
Mailing address
200 E STATE ST, MEDIA, PA 19063-3434
(484) 472-3352
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP026236
PA
Other
Enumeration date
08/22/2022
Last updated
09/02/2022
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