Individual
CYNTHIA BETH HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
1521B 24TH AVE S STE 203, GRAND FORKS, ND 58201-6775
(701) 885-7920
(701) 757-0859
Mailing address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
R31494
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R31494
ND
Other
Enumeration date
04/22/2013
Last updated
11/09/2023
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