Individual
MEGHAN HAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
149 WILSON AVE, HAVERTOWN, PA 19083-3424
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP024886
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPPA048633
PRESCRIPTIVE AUTHORITY
PA
01
—
SP024886
CRNP LICENSE
PA
Enumeration date
02/08/2022
Last updated
02/08/2022
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