Individual
TONYA L HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1401 32ND ST SW, FARGO, ND 58103-3428
(866) 284-8788
Mailing address
1620 36 1/2 AVE S, FARGO, ND 58104-6102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R35504
ND
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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