Individual
MRS. ALEXANDRA RUPP HAGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
461 W HURON ST STE 103, PONTIAC, MI 48341-1601
(248) 724-7600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112605
CT
363LF0000X
Family Nurse Practitioner
Primary
4704352134
MI
363LF0000X
Family Nurse Practitioner
7630
CT
Other
Enumeration date
05/25/2018
Last updated
09/23/2022
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