Individual
KRISTY HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 THEDA CLARK MEDICAL PLZ, SUITE 130, NEENAH, WI 54956-2721
(920) 729-7105
Mailing address
3913 W PROSPECT AVE, SUITE LL1, APPLETON, WI 54914-8798
(920) 729-7105
(920) 831-8306
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
137024-30
WI
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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