Individual
MS. RAEDENE ANN HAGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2621 MAPLE LANE, SHOW LOW, AZ 85902-3526
(928) 205-9863
Mailing address
PO BOX 3526, 2621 MAPLE LN, SHOW LOW, AZ 85902-3526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5138
AZ
Other
Enumeration date
11/08/2013
Last updated
04/26/2019
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