NPI 1003170747
Patrick Dale Hagen
Practice location
- Address
- 2770 S Maryland Pkwy STE 310, Las Vegas, NV 89109-1566
- Phone
- (702) 240-3800
- Fax
- (702) 240-3001
- Mailing address
- 4156 Vancouver Ave, Las Vegas, NV 89121-6143
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1003170747
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Jun 2012
- Record last updated
- 27 Jun 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.