Healthcare Provider Details

I. General information

NPI: 1831193358
Provider Name (Legal Business Name): GERRI LYNN HAGADON-SZAKAL MSN, CNP, DNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GERRI L HAGADON

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 01/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 N SHIAWASSEE ST STE 201
OWOSSO MI
48867-1632
US

IV. Provider business mailing address

721 N SHIAWASSEE ST STE 201
OWOSSO MI
48867-1632
US

V. Phone/Fax

Practice location:
  • Phone: 989-725-8124
  • Fax: 989-723-1205
Mailing address:
  • Phone: 989-725-8124
  • Fax: 989-723-1205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704152236
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704152236
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: