Individual
KATRINA L HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 447-8786
(502) 447-8623
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1752
(502) 447-8786
(502) 447-8623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008094
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3008094
KY
363LF0000X
Family Nurse Practitioner
3008094
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201183870
—
IN
05
—
7100244950
—
KY
Enumeration date
06/28/2013
Last updated
09/21/2023
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