Provider Demographics
NPI:1144768961
Name:HAGEN, CASSIE (NP)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:
Last Name:HAGEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:
Other - Last Name:ZAMPANTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:502 MADISON OAK DR STE 440
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4189
Mailing Address - Country:US
Mailing Address - Phone:210-946-1300
Mailing Address - Fax:210-946-1700
Practice Address - Street 1:502 MADISON OAK DR STE 440
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4189
Practice Address - Country:US
Practice Address - Phone:210-946-1300
Practice Address - Fax:210-946-1700
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX737320363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health