Individual
MICHELLE HOPE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
16053 HIGHWAY 72, ROGERSVILLE, AL 35652-8141
(256) 247-0093
(256) 247-5289
Mailing address
PO BOX 401, ROGERSVILLE, AL 35652-0401
(256) 247-0093
(256) 247-5289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-099297
AL
163WR0006X
Registered Nurse First Assistant
137509
TN
363LF0000X
Family Nurse Practitioner
Primary
1-099297
AL
Other
Enumeration date
08/06/2013
Last updated
02/11/2016
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