CYNTHIA BETH HAGEN


Address: 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715
Phone: 7017953000

CYNTHIA BETH HAGEN (NPI# 1588008551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588008551
Entity Type Individual
Full Name CYNTHIA BETH HAGEN
Credential RN
Practice Address 151 S 4th St
Suite 401
Grand Forks
ND 58201-4715
Practice Telephone 7017953000
Practice Fax Number 7017953050
Mailing Telephone 7017953000
Mailing Fax Number 7017953050
Enumeration Date 2013-04-22
Last Update Date 2013-04-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
R31494 ND Nursing Service Providers

Office Location

Street Address 151 S 4TH ST
SUITE 401
City GRAND FORKS
State ND
Zip Code 58201-4715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366496341 Northeast Human Service Center Clinic/Center 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 2006-05-22
1336752443 Garett C Wiltse Counselor 151 S 4th St, Grand Forks, ND 58201-4715 2020-08-28
1700496775 Caylee Ellingson Psychologist 151 S 4th St, Grand Forks, ND 58201-4715 2020-08-05
1134647530 Cynthia Severinson Registered Nurse 151 S 4th St, Ste 401, Grand Forks, ND 58201 2017-09-06
1194255026 George C. Jirout Social Worker 151 S 4th St, Grand Forks, ND 58201-4715 2017-06-13
1568998391 Casey Davidson Social Worker 151 S 4th St, Suite 201, Grand Forks, ND 58201-4715 2017-05-11
1043745763 Michelle Marie Tupa Social Worker 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 2017-05-01
1740713239 Sara Bondy Social Worker 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 2017-04-11
1184157349 Erin West Counselor 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 2017-04-05
1215471362 Sara K. Munson Counselor 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 2016-12-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255965398 Development Homes Inc Intermediate Care Facility, Mentally Retarded 5509 Cottonwood Street, Grand Forks, ND 58201 2020-02-27
1932753779 Lydia Pansegrau Occupational Therapist 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 2019-07-30
1407416019 Kristina Aikens Optometrist 1820 S 42nd St, Grand Forks, ND 58201 2019-06-17
1861963209 Jessica Kovsky Occupational Therapist 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 2018-12-11
1609345834 Altru Specialty Services, Inc Durable Medical Equipment & Medical Supplies 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 2018-11-16
1225523004 Alicia Mae Mack Registered Nurse 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 2018-06-25
1396260808 Amber White Behavior Technician 2016 S Washington St., Grand Forks, ND 58201 2017-08-04
1225579840 Kathleen Suzanne Tillman Psychologist 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 2017-03-15
1881148906 Melissa Pytlik Monson Physician Assistant 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 2016-08-05
1477936029 Laura Jane Carlson Nurse Practitioner 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 2015-07-01
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Taxonomy Information

Taxonomy Code 163WP0807X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Child & Adolescent

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134781321 Rachel Sauter Registered Nurse 3201 33rd St S, Fargo, ND 58104-8823 2019-07-08

Competitor

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City GRAND FORKS
Zip Code 58201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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