Individual
AMBER HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-0543
Mailing address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-2697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704313389
MI
Other
Enumeration date
07/17/2019
Last updated
12/21/2021
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