Michelle Renee Hagen in Rapid City - Physician Assistant
Michelle Renee Hagen - NPI 1366632002
Michelle Renee Hagen is a Physician Assistant in Rapid City, South Dakota. Michelle Renee Hagen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle Renee Hagen is 1366632002. The last update date is 2011-05-20.
Michelle Renee Hagen's current location address is 2201 Jackson Blvd, Rapid City, South Dakota. You can contact this provider via phone number 6053484645 and fax number 6053485501. The mailing address for Michelle Renee Hagen is 2201 Jackson Blvd, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Renee Hagen |
|---|---|
| Address | 2201 Jackson Blvd, Rapid City, South Dakota |
| Phone Number | 6053484645 |
| Fax Number | 6053485501 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1366632002 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2011-05-20 |
Provider Mailing Address Detail
| Address | 2201 Jackson Blvd |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577024386 |
| Phone Number | 6053484645 |
| Fax Number | 6053485501 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 654 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Michelle Renee Hagen?
The Michelle Renee Hagen has been issued the NPI (National Provider Identifier) 1366632002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Michelle Renee Hagen is geographically located?
The Michelle Renee Hagen is physically situated at the following location: 2201 Jackson Blvd, Rapid City, SD, 577024386.
What is the area of specialization for Michelle Renee Hagen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michelle Renee Hagen is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Michelle Renee Hagen receive its 1366632002 assignment from the Centers for Medicare & Medicaid Services?
The Michelle Renee Hagen was assigned its 1366632002 by the Centers for Medicare & Medicaid Services on 2007-07-30.
As of what date were the details related to Michelle Renee Hagen most recently updated or revised?
The information pertaining to Michelle Renee Hagen, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-20.
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