Individual
EMILIE A HAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP, CDE
Contact information
Practice address
1431 BLUFFVIEW ST, STE. 102, WICHITA, KS 67218-3039
(316) 219-3571
(316) 219-3573
Mailing address
7329 N WOODLAWN ST, VALLEY CENTER, KS 67147-8560
(316) 219-3571
(316) 219-3573
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
74122
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207996
HEALTH PARTNERS OF KANSAS
KS
01
—
3413735
CIGNA INS ID
KS
01
—
436680
FIRST GUARD - MEDICAID
KS
01
—
9383
PREFERRED HEALTH CARE ID
KS
Enumeration date
01/09/2006
Last updated
07/08/2007
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