Individual
MRS. DANIELA L HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 JACKSON RD STE 300, ANN ARBOR, MI 48103-1889
(800) 777-3166
(800) 279-1076
Mailing address
29500 SOUTHFIELD RD, SOUTHFIELD, MI 48076-2030
(248) 765-1795
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
4704304772
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704304772
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1167889
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704304772
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4704304772
MI
Other
Enumeration date
12/01/2022
Last updated
04/21/2026
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