Individual
MS. CHERISE HAGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3105 KINGSWAY RD, FORT WASHINGTON, MD 20744-2030
(240) 393-2314
Mailing address
3105 KINGSWAY RD, FORT WASHINGTON, MD 20744-2030
(240) 393-2314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R161898
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097118900
—
MD
Enumeration date
05/07/2015
Last updated
04/12/2023
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