MS. MARYLYN A. HAGERTY DNP FNP NPI 1548558968

NPI Information

NPI: 1548558968
Provider Name: MS. MARYLYN A. HAGERTY, DNP FNP
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Individual

Specialization: Family Health

PECOS Registration: Yes

Address:
12900 PARK PLAZA DR STE 150
CERRITOS, CA
ZIP 90703
Phone: (562) 229-4831
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MS. Marylyn A. Hagerty, DNP FNP is a family health clinical nurse specialist in Cerritos, CA. MS. Marylyn A. Hagerty, DNP FNP NPI is 1548558968. 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:

12900 PARK PLAZA DR STE 150
CERRITOS, CA
ZIP 90703
Phone: (562) 229-4831
Fax: (949) 305-8520

The NPI 1548558968 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 7/19/2011 and was last updated on 8/4/2018.

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	163WH0200X	Registered Nurse	Home Health	267941	CALIFORNIA	No
2	364SF0001X	Clinical Nurse Specialist	Family Health	21337	CALIFORNIA	Yes

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: 4/28/2024

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