Individual
AUBREY R HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 573-3101
Mailing address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 573-3101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D119432
IA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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