Hagan, Phyllis A

Hagan, Phyllis A is an individual health care provider with primary practice located at 128 Route 27 , Raymond NH 03077-1220. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hagan, Phyllis A can be contacted via phone (603) 895-3351.

Contact Information

Primary practice address
128 Route 27 Raymond NH 03077-1220
Phone: (603) 895-3351
Fax: (603) 895-0773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 016582-21 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 016582-23 New Hampshire

Profile Details

NPI number 1619986361
LBN Legal business name Hagan, Phyllis A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 7th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619986361 NPPES
New Hampshire MEDICAID 30009619
New Hampshire MEDICAID 313480099
New Hampshire Other 2301906YPNH01

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