Provider Demographics
NPI:1447410659
Name:HAGAR, BEVERLY ANN (RN, COHN-S)
Entity type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:ANN
Last Name:HAGAR
Suffix:
Gender:F
Credentials:RN, COHN-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 UNIVERSITY ST
Mailing Address - Street 2:HEALTH RESOURCES BLDG, MAILSTOP: G2-EH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2772
Mailing Address - Country:US
Mailing Address - Phone:206-341-0575
Mailing Address - Fax:206-223-6856
Practice Address - Street 1:909 UNIVERSITY ST
Practice Address - Street 2:HEALTH RESOURCES BLDG, MAILSTOP: G2-EH
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2772
Practice Address - Country:US
Practice Address - Phone:206-341-0575
Practice Address - Fax:206-223-6856
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00067868163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN00067868OtherRN NURSING LICENSE