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

Theresa Hagans

Individual provider Nurse Practitioner · NPI 1063996890

Theresa Hagans is a Nurse Practitioner in Utica, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

1450 Champlin Ave Ste 1
Utica, NY 13502-3662
Phone: (315) 624-9000
Fax: (315) 624-9003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 343415 (NY)

Record details

NPI number1063996890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESMarch 5, 2019

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