person
Kathleen Jo Hagenauer, APN
Critical Care Neonatal Nurse Practitioner in Peoria, Illinois
NPI 1053649574

Kathleen Jo Hagenauer is a Critical Care Neonatal Nurse Practitioner based in Peoria, IL and is specialized in Neonatal, Critical Care. Kathleen Jo Hagenauer practices in Peoria, IL and has the professional credentials of APN. The NPI Number for Kathleen Jo Hagenauer is 1053649574 and holds a License No. 209007387 (Illinois).

The current practice location address for Kathleen Jo Hagenauer is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2000 and via fax at 309-655-7480.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
person
Provider Profile Details
NPI Number
1053649574
Provider Name
Kathleen Jo Hagenauer
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-655-2000
Fax Number
309-655-7480
Provider Enumeration Date
11/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-655-2000
Fax Number
309-655-7480
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-655-2000
Fax Number
309-655-7480
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
209007387 (Illinois)
Definition
Definition to come...
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