Individual
ADELE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
MEDIMMUNE HEALTH AND WELLNESS CENTER, 1 MEDIMMUNE WAY, GAITHERSBURG, MD 20878
(301) 398-6893
(301) 208-9861
Mailing address
1 MEDIMMUNE WAY, GAITHERSBURG, MD 20878-2204
(301) 398-6893
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC001068
MD
363LX0106X
Occupational Health Nurse Practitioner
AC001068
MD
Other
Enumeration date
09/02/2012
Last updated
08/30/2018
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