Bridgette Lynn Hagen, PMHNP | |
3330 Erie Ave, Cincinnati, OH 45208-1656 | |
(937) 759-0545 | |
Not Available |
Full Name | Bridgette Lynn Hagen |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 3330 Erie Ave, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730865585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0034231 (Ohio) | Primary |
Entity Name | Woodstream Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265001234 PECOS PAC ID: 8527462506 Enrollment ID: O20210812003526 |
Mailing Address | Practice Location Address |
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Bridgette Lynn Hagen, PMHNP 9152 Cherry Blossom Ln, Cincinnati, OH 45231-3832 Ph: () - | Bridgette Lynn Hagen, PMHNP 3330 Erie Ave, Cincinnati, OH 45208-1656 Ph: (937) 759-0545 |
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Elizabeth Ann Moore, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229 Phone: 513-636-4432 Fax: 513-636-3952 | |
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