Ms Marnie Catherine Von Hagen, FNP | |
593 W 6th St, San Pedro, CA 90731-2521 | |
(310) 547-0202 | |
Not Available |
Full Name | Ms Marnie Catherine Von Hagen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 593 W 6th St, San Pedro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609583731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95023151 (California) | Primary |
Entity Name | Harbor Community Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467490425 PECOS PAC ID: 8022166826 Enrollment ID: O20090505000470 |
Mailing Address | Practice Location Address |
---|---|
Ms Marnie Catherine Von Hagen, FNP 7251 Rue La Fleur, Rancho Palos Verdes, CA 90275-5321 Ph: (808) 203-7676 | Ms Marnie Catherine Von Hagen, FNP 593 W 6th St, San Pedro, CA 90731-2521 Ph: (310) 547-0202 |
Jason Swiecki, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 S Gaffey St, San Pedro, CA 90731 Phone: 510-847-6615 | |
Chinenye Deborah Udoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 W 39th St Apt 3, San Pedro, CA 90731 Phone: 310-999-5410 | |
Tara Lynn Shafer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 W 6th St Ste 200, San Pedro, CA 90732 Phone: 310-832-0686 | |
Elizabeth Servaites, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1249 W 13th St, San Pedro, CA 90731 Phone: 310-418-6010 | |
Lilia Isabel Stephenson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1921 W 26th St, San Pedro, CA 90732 Phone: 310-833-4661 | |
Susan T Barie, NP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 W 5th St, San Pedro, CA 90731 Phone: 310-833-6526 | |
Lindsay Michelle Iraci, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 W 9th St, San Pedro, CA 90731 Phone: 310-547-0888 |