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

CAROLYN HAGERTY, FNP-BC

Active Sole Proprietor

CAROLYN HAGERTY, FNP-BC is a Family Nurse Practitioner healthcare provider located in BLOOMINGTON, Illinois. NPI 1942954169 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · BLOOMINGTON, IL

Registration Details

NPI Number
1942954169
Provider Type
Individual
Gender
Female
NPI Issued
Feb 7, 2022 (4.5238549215164 yrs)
Last Updated
Oct 3, 2024
Licenses
2029.024736 (IL)
209.024736 (IL)
Sole Proprietor
Yes

Practice Information

Address
1111 TRINITY LN STE 111
BLOOMINGTON, IL, 617048112
Browse IL providers · Browse ZIP 61704
Phone
3096636461
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in BLOOMINGTON, IL

Name Credential NPI
MARCELLA A. LINDSTROM APRN, CNP 1730175712
MRS. KAREN JO HILDRETH APN 1336103753
MS. GENEVA A. PETERSEN CNP 1750321667
KELLY L GALBRAITH APN 1619063187
MRS. PHYLLIS JOAN COULTER FNP 1972674026
MR. MUNIB S MAFAZY APRN 1588859169
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.