Sandy R Hagene is a Family in Cuba, Missouri. Sandy R Hagene practices all healthcare services and medical treatments related to Family. The NPI Number for Sandy R Hagene is 1184731671. The last update date is 2021-05-13.
Sandy R Hagene's current location address is 102 Ozark Dr Ste B, Cuba, Missouri. You can contact this provider via phone number 5738856600. The mailing address for Sandy R Hagene is 102 Ozark Dr Ste B, Cuba, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandy R Hagene |
|---|---|
| Address | 102 Ozark Dr Ste B, Cuba, Missouri |
| Phone Number | 5738856600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1184731671 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2021-05-13 |
Provider Mailing Address Detail
| Address | 102 Ozark Dr Ste B |
|---|---|
| City | Cuba |
| State | Missouri (MO) |
| Post Code | 654531664 |
| Phone Number | 5738856600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 112906 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 424651305 | MO | -- |
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What is the unique provider identifier assigned to Sandy R Hagene?
The Sandy R Hagene has been issued the NPI (National Provider Identifier) 1184731671 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Sandy R Hagene located?
The Sandy R Hagene is located at 102 Ozark Dr Ste B, Cuba, MO 654531664.
What is Sandy R Hagene's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sandy R Hagene is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did Sandy R Hagene receive its 1184731671 assignment from the Centers for Medicare & Medicaid Services?
The Sandy R Hagene was assigned its 1184731671 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Sandy R Hagene's details last updated?
The information pertaining to the Sandy R Hagene, including its address, specialty, and other details, was most recently updated on 2021-05-13.