IndividualActive
Ellie Hagen
NPI 1740957943 · Physical Medicine & Rehabilitation Physician · Fargo, ND
Provider details
- NPI number
- 1740957943
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 2570 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
737 Broadway N
Fargo, ND 58102-4421
Phone: (701) 234-5932
Approximate (ZIP-level) locationGet directions
Mailing address
737 Broadway N
Fargo, ND 58102-4421
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.