Individual
MS. ELNORA MICHELLE HAGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5101 MINNEHAHA AVE, MINNEAPOLIS, MN 55417-1647
(612) 728-7463
Mailing address
3111 PORTLAND AVE, MINNEAPOLIS, MN 55407-1528
(612) 823-7789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1159183
MN
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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