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
10000415
OR
363LF0000X
Family Nurse Practitioner
Primary
4704321277NSA2102U
MI
363LF0000X
Family Nurse Practitioner
Primary
4704321277NSA2102U
OR
Other
Enumeration date
01/29/2021
Last updated
07/22/2026
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