Hagen, Donna F

Hagen, Donna F is an individual health care provider with primary practice located at 2605 N Lebanon St , Lebanon IN 46052-1476. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hagen, Donna F can be contacted via phone (765) 485-8000.

Contact Information

Primary practice address
2605 N Lebanon St Lebanon IN 46052-1476
Phone: (765) 485-8000
Fax: (765) 485-8679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003830A Indiana

Profile Details

NPI number 1932470432
LBN Legal business name Hagen, Donna F
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2012
Last updated Dec 28th, 2016 - about 9 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 1932470432 NPPES
Indiana MEDICAID 201056920

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