Individual
ANGELA MARIE HAGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1600 NW 6TH ST, N STE, GRANTS PASS, OR 97526-1094
(541) 916-5500
(541) 916-5010
Mailing address
1600 NW 6TH ST, N STE, GRANTS PASS, OR 97526-1094
(541) 916-5500
(541) 916-5010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704321277NSA2102U
MI
363LF0000X
Family Nurse Practitioner
Primary
4704321277NSA2102U
OR
Other
Enumeration date
01/29/2021
Last updated
02/23/2026
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