Individual
KRISTIN NICOLE HAGOPIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6805 STATE ROUTE 162, MARYVILLE, IL 62062-8530
(618) 288-5019
Mailing address
2734 VULLIET RD, HIGHLAND, IL 62249-3840
(618) 801-8876
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209030616
IL
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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