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Individual

DR. BREA ANNE HAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
90 DIVISION ST NW, MANDAN, ND 58554-2099
(701) 214-2139
Mailing address
90 DIVISION ST NW, MANDAN, ND 58554-2099
(701) 214-2139

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R34753
ND

Other

Enumeration date
08/01/2020
Last updated
08/01/2020
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