Hagedorn, Susan

Hagedorn, Susan is an individual health care provider with primary practice located at 4200 E 9Th Ave , Denver CO 80262-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hagedorn, Susan can be contacted via phone (303) 493-7000.

Contact Information

Primary practice address
4200 E 9Th Ave Denver CO 80262-0001
Phone: (303) 493-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 101984 Colorado

Profile Details

NPI number 1801804109
LBN Legal business name Hagedorn, Susan
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1801804109 NPPES
Colorado MEDICAID 07019847

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