Individual
MRS. ANDREA E HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(240) 826-6359
(240) 826-5393
Mailing address
13509 STRAW BALE LN, DARNESTOWN, MD 20878-3993
(301) 947-4654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R150465
MD
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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