Individual
MARION ALIDA O'HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007449
KY
363L00000X
Nurse Practitioner
71011784A
IN
363LF0000X
Family Nurse Practitioner
3007449
KY
363LF0000X
Family Nurse Practitioner
71011784A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017533400
—
FL
Enumeration date
07/09/2012
Last updated
02/02/2026
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