Individual
TERESA HAGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36970 OLD MILL BRIDGE RD, SELBYVILLE, DE 19975-3935
(301) 233-2121
Mailing address
36970 OLD MILL BRIDGE RD, SELBYVILLE, DE 19975-3935
(301) 233-2121
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
R169944
MD
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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