Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shane Anthony Hagen

Individual provider Community Health Worker · NPI 1922475490

Mr. Shane Anthony Hagen is a Community Health Worker in Laramie, Wyoming. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

4939 N 3rd St
Laramie, WY 82072-9548
Phone: (307) 745-8997
Fax: (307) 742-6146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1922475490
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2015
Last updated in NPPESAugust 31, 2015

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