| Doctor Name: | MARY HAGERTY |
| NPI Number: | 1003859034 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | NP 104422 |
| Business Practice Address: | 2316 E Meyer Blvd Research Medical Center, #527 Kansas City, MO - 641321136 |
| Business Phone Number: | 8162763213 |
| Business Fax Number: | |
| Mailing Address: | 2316 E Meyer Blvd, Research Medical Center, #527 KANSAS CITY |
| State: | MO |
| Postal Code: | 641321136 |
| Phone Number: | 8162763213 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | NP 104422 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |