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Individual

TARA NIKOLE HAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
207 FAIRGROUNDS RD, HARDINSBURG, KY 40143-2585
(270) 756-5816
(270) 756-5815
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3006827
KY

Other

Enumeration date
03/30/2011
Last updated
11/03/2011
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