NPI 1407171879

Andrea Lynne Hageman, CSTCFA

Practitioner Surgical Technologist Wichita, KS

Practice location

Address: 1515 S Clifton Ave Suite 250, Wichita, KS 67218-2900
Phone: (316) 686-1991
Mailing address: 818 N Emporia St Suite 200, Wichita, KS 67214-3729

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 92312 (KS)

Other Specialist/Technologist, Other providers in Kansas →

Registry record

NPI: 1407171879
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2010
Record last updated: 29 Mar 2010

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.