Individual
MRS. AMBER LANAE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
867 W WATER ST, BERNE, IN 46711-1338
(260) 525-0989
Mailing address
867 W WATER ST, BERNE, IN 46711-1338
(260) 525-0989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28189195A
IN
174H00000X
Health Educator
—
—
374J00000X
Doula
—
—
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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