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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYANN E HAGBERG, RD,CDN

Active Sole Proprietor

MARYANN E HAGBERG, RD,CDN is a 132700000X healthcare provider located in DERBY, Connecticut. NPI 1851573687 is currently active in the NPPES registry. Verify at CMS.

132700000X · DERBY, CT

Registration Details

NPI Number
1851573687
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2007 (18.653716822505 yrs)
Last Updated
Sep 17, 2008
Licenses
000814 (CT)
000814 (CT)
Sole Proprietor
Yes

Practice Information

Address
130 DIVISION ST
DERBY, CT, 064181326
Browse CT providers · Browse ZIP 06418
Phone
2037327585
Primary Specialty
132700000X
132700000X
Additional Specialty
Registered Dietitian
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.