Individual
CAROL LEIGH HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
13316 S WESTERN AVE STE M, MOORE, OK 73170-7310
(405) 495-5154
Mailing address
13316 S WESTERN AVE STE M, OKLAHOMA CITY, OK 73170-7310
(405) 495-5154
(405) 237-3155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62775
OK
Other
Enumeration date
06/29/2014
Last updated
03/07/2023
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