| Doctor Name: | CONNIE HAGAN |
| NPI Number: | 1669680393 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | RN199361L |
| Business Practice Address: | 565 Kelly Blvd Slippery Rock, PA - 160571155 |
| Business Phone Number: | 7247944023 |
| Business Fax Number: | 7247943675 |
| Mailing Address: | 606 W Mercer Street Ext, HARRISVILLE |
| State: | PA |
| Postal Code: | 160381514 |
| Phone Number: | 7247354415 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 06/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN199361L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |