Female

Kimberly R. Hagen ARNP

Nurse Practitioner in Tallahassee, FL(View on Map)

Full Name

Kimberly R Hagen ARNP

NPI Number

1528145356

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/01/2006

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

APRN9185998

Contact
Information

Purpose

Mailing
Location

Address

3334 CAPITAL MEDICAL BLVD #400
3334 CAPITAL MEDICAL BLVD #400

City

Tallahassee
Tallahassee

State

FL
FL

Postal Code

32308
32308

Country

US
US

Telephone Number

(850) 877-8174
(850) 877-8174

Identifiers

Identifier

000690200

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/04/2019

Provider Address

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