| Angela Marie Hagerty, MSN, APRN, FNP-C | |
|
1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526-6009 | |
| (419) 168-5305 | |
| (541) 916-8533 |
| Full Name | Angela Marie Hagerty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1619 Nw Hawthorne Ave Ste 204, Grants Pass, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750972030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704321277NSA2102U (Michigan) | Primary |
| Entity Name | Northwest Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891347415 PECOS PAC ID: 8123356003 Enrollment ID: O20190830000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Marie Hagerty, MSN, APRN, FNP-C 1619 Nw Hawthorne Ave, Grants Pass, OR 97526-6008 Ph: (541) 916-8530 | Angela Marie Hagerty, MSN, APRN, FNP-C 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526-6009 Ph: (419) 168-5305 |
Ms. Catherine Chiaradonna, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Williams Hwy Ste 226, Grants Pass, OR 97527 Phone: 877-672-8620 | |
Cathryn Diann Draper, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Sw Ramsey Ave Ste 204, Grants Pass, OR 97527 Phone: 541-930-7223 Fax: 541-930-7221 | |
Deborah Lynn Rossel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Nw 6th St, Grants Pass, OR 97526 Phone: 541-916-5500 Fax: 541-916-5010 | |
Krista Fuqua, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1585 Nw Washington Blvd, Grants Pass, OR 97526 Phone: 541-474-5511 | |
Laura Lynn Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526 Phone: 541-916-8530 Fax: 541-916-8533 | |
Mona Kaahu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 Fax: 541-471-9242 | |
Ms. Charlane A Frazier, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Nw Franklin Blvd, Grants Pass, OR 97526 Phone: 541-474-2784 Fax: 541-474-0638 |