Hagen, Krista Rose

Hagen, Krista Rose is an individual health care provider with primary practice located at 3955 Parklawn Ave Suite 120, Edina MN 55435-5655. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hagen, Krista Rose can be contacted via phone (952) 831-4454.

Contact Information

Primary practice address
3955 Parklawn Ave Suite 120 Edina MN 55435-5655
Phone: (952) 831-4454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50511 Minnesota

Profile Details

NPI number 1992975494
LBN Legal business name Hagen, Krista Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2008
Last updated Jun 13th, 2010 - about 14 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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