Individual
MS. MARYLYN A. HAGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP FNP
Contact information
Practice address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703
(562) 229-4831
(949) 305-8520
Mailing address
1808 CALLE MAYITA, SAN CLEMENTE, CA 92672-2306
(949) 933-2620
(949) 361-5092
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
267941
CA
364SF0001X
Family Health Clinical Nurse Specialist
Primary
21337
CA
Other
Enumeration date
07/19/2011
Last updated
08/04/2018
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