Individual
ANNE LILLY HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP-AC
Contact information
Practice address
4900 MUELLER BLVD, DELL CHILDRENS MEDICAL CENTER OF CENTRAL TEXAS, AUSTIN, TX 78752
(512) 324-0150
Mailing address
6300 LA CALMA DRIVE, EMERGENCY SERVICE PARTNERS, AUSTIN, TX 78752
(512) 452-8533
(512) 610-0392
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
530372
TX
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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