Individual
MS. MARYLOUISE HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2623 SO. SEACREST BLVD, # 216, BOYNTON BEACH, FL 33435
(561) 742-0065
(561) 742-0105
Mailing address
2623 S. SEACREST BLVD, SUITE 216, BOYNTON BEACH, FL 33435
(561) 742-0065
(561) 742-0105
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
1602362
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP1602362
FL
Other
Enumeration date
03/02/2006
Last updated
07/08/2010
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