Healthcare Provider Details

I. General information

NPI: 1447410659
Provider Name (Legal Business Name): BEVERLY ANN HAGAR RN, COHN-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 06/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 UNIVERSITY ST HEALTH RESOURCES BLDG, MAILSTOP: G2-EH
SEATTLE WA
98101-2772
US

IV. Provider business mailing address

909 UNIVERSITY ST HEALTH RESOURCES BLDG, MAILSTOP: G2-EH
SEATTLE WA
98101-2772
US

V. Phone/Fax

Practice location:
  • Phone: 206-341-0575
  • Fax: 206-223-6856
Mailing address:
  • Phone: 206-341-0575
  • Fax: 206-223-6856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License NumberRN00067868
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: