Individual
MRS. ERIN HAGENGRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
16 KINGSBORO PARK, APT. 1, JAMAICA PLAIN, MA 02130-2125
(617) 320-7451
Mailing address
16 KINGSBORO PARK, APT. 1, JAMAICA PLAIN, MA 02130-2125
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
N-32951
ID
163WG0000X
General Practice Registered Nurse
Primary
RN2258063
MA
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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