Individual
KIMBERLY HAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5102
Mailing address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110707
IA
Other
Enumeration date
09/16/2008
Last updated
08/05/2009
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