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Individual

JOANNA L HAGEMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
(314) 810-1399
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
(314) 810-1399

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
142498
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
919112706
MO
Enumeration date
02/01/2006
Last updated
05/24/2024
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