Individual
KAYLA LYN HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3834 S EMERSON AVE, BUILDING C, SUITE 100, INDIANAPOLIS, IN 46203
(317) 782-1577
(888) 366-7577
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
(888) 700-0187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173569A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007109A
IN
Other
Enumeration date
11/05/2008
Last updated
02/21/2020
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