Hagerty, Marylyn A.
Hagerty, Marylyn A. is an sole proprietor health care provider with primary practice located at 12900 Park Plaza Dr Ste 150 , Cerritos CA 90703. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family Health is her primary health care specialty. Hagerty, Marylyn A. can be contacted via phone (562) 229-4831.Contact Information
Primary practice address
12900 Park Plaza Dr Ste 150
Cerritos CA 90703
Phone: (562) 229-4831
Fax: (949) 305-8520
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Home Health | 163WH0200X | 267941 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family Health | 364SF0001X | 21337 | California |
Profile Details
NPI number | 1548558968 |
---|---|
LBN Legal business name | Hagerty, Marylyn A. |
Credentials | DNP FNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 19th, 2011 |
Last updated | Aug 4th, 2018 - about 6 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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