Individual
CONNIE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
565 KELLY BLVD, SLIPPERY ROCK, PA 16057-1155
(724) 794-4023
(724) 794-3675
Mailing address
606 W MERCER STREET EXT, HARRISVILLE, PA 16038-1514
(724) 735-4415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN199361L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991407
HIGHMARK
PA
01
—
HA925951
HIGHMARK
PA
Enumeration date
05/18/2007
Last updated
06/11/2008
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