# MARTHA M HAGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316134877
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0024167533 | VA | Yes |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 04/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0024167533 | STATE LICENSE NUMBER | VA |
| 01 | — | 015160M68 | MEDICARE | VA |
| 05 | — | 1316134877 | — | VA |
| 01 | — | 541131672006 | TRICARE | VA |
| 01 | — | P00458960 | MEDICARE RAILROAD CARRIER | VA |