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Individual

CATHY JO HAGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
200 UNIVERSITY BLVD, BRYCE HOSPITAL, TUSCALOOSA, AL 35401-1250
(205) 759-0799
(205) 759-0845
Mailing address
200 UNIVERSITY BLVD, TUSCALOOSA, AL 35401-1250
(205) 759-0799
(205) 759-0845

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1047077
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51525501
BCBS
Enumeration date
08/21/2006
Last updated
07/08/2007
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