Individual
JENNIFER HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
229888 CAMARO RD, WAUSAU, WI 54403-5843
(715) 412-5931
Mailing address
229888 CAMARO RD, WAUSAU, WI 54403-5843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228032-30
WI
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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