Individual
ANDREA MARY HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4986 N ADAMS RD, ROCHESTER, MI 48306-5017
(248) 475-4301
Mailing address
18941 MARIA DR, CLINTON TOWNSHIP, MI 48036-2165
(586) 260-9505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704297105
MI
Other
Enumeration date
02/08/2018
Last updated
11/12/2021
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