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MS. RAEDENE ANN HAGEMAN FNP-C
NPI 1275962219
Nurse Practitioner - Family in Show Low, AZ

Active since November 08, 2013
2621 MAPLE LANE, SHOW LOW, AZ 85902(928) 205-9863 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ms. Raedene Ann Hageman Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RAEDENE ANN HAGEMAN FNP-C (NPI 1275962219) is an individual family provider in Show Low, Arizona, licensed in Arizona (AP5138) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1275962219
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. RAEDENE ANN HAGEMANCredential: FNP-C
Location Address2621 MAPLE LANEShow Low, AZ 85902-3526
Mailing AddressPo Box 3526, 2621 Maple LnShow Low, AZ 85902-3526
Phone(928) 205-9863
Sole ProprietorYes
Enumeration DateNovember 8, 2013
Last NPPES UpdateApril 26, 2019
✔ NPI 1275962219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP5138
2621 MAPLE LANE, Show Low, AZ 85902
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raedene Hageman's NPI number?

The NPI number for Raedene Hageman is 1275962219. It was assigned to this individual provider in the NPPES registry on November 8, 2013.

Where is Raedene Hageman located?

Raedene Hageman practices at 2621 Maple Lane, Show Low, AZ 85902. The listed phone number is (928) 205-9863.

What is Raedene Hageman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Raedene Hageman was last updated on April 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.