Individual
MARYANNE HAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
SIX CORPORATE DRIVE, SUITE 420, SHELTON, CT 06484
(203) 925-9600
(203) 926-0594
Mailing address
SIX CORPORATE DRIVE, SUITE 420, SHELTON, CT 06484
(203) 925-9600
(203) 926-0594
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002546
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
002546
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
002546
CT
Other
Enumeration date
05/18/2006
Last updated
11/21/2017
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