Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EYERUSALEM HAGOS
Active Sole ProprietorEYERUSALEM HAGOS is a Gerontological Nurse Practitioner healthcare provider located in ESSEX, Maryland. NPI 1134662497 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · ESSEX, MD
Registration Details
- NPI Number
- 1134662497
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2016 (9.771365953046 yrs)
- Last Updated
- Nov 18, 2016
- License
-
R160719 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 EASTERN BLVDESSEX, MD, 212217016Browse MD providers · Browse ZIP 21221
- Phone
- 3107076489
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.