Individual
JOHN F HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704288887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704288887
4704288887
MI
Enumeration date
12/22/2011
Last updated
07/18/2013
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