Individual
KRISTIN PATRICIA HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
728 SHADE TREE DR, AUSTIN, TX 78748-2415
(512) 925-2729
Mailing address
728 SHADE TREE DR, AUSTIN, TX 78748-2415
(512) 925-2729
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84208
TX
163W00000X
Registered Nurse
721426
TX
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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