MARYANNE HAGAR APRN NPI 1255384228

NPI Information

NPI: 1255384228
Provider Name: MARYANNE HAGAR, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: HARVEST HEALTHCARE LLC

PECOS Registration: Yes

Address:
SIX CORPORATE DRIVE
SUITE 420
SHELTON, CT
ZIP 06484
Phone: (203) 925-9600
Get Directions

Maryanne Hagar, APRN is a gerontology nurse practitioner in Shelton, CT with 23 years of experience. Maryanne Hagar, APRN NPI is 1255384228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

SIX CORPORATE DRIVE
SUITE 420
SHELTON, CT
ZIP 06484
Phone: (203) 925-9600
Fax: (203) 926-0594

The NPI 1255384228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 11/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		002546	CONNECTICUT	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	002546	CONNECTICUT	No
3	363LG0600X	Nurse Practitioner	Gerontology	002546	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P63325	MEDICARE UPIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »