# BRENDA HAGE

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

## Provider details

- **NPI number:** 1992790992
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | TP-003758-B | PA | Yes |

## Other

- **Enumeration date:** 09/15/2005
- **Last updated:** 06/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50076561 | CAPITAL BLUE CROSS | PA |
| 01 | — | 892898 | BLUE CARE | PA |
| 01 | — | P00155573 | RAILROAD MEDICARE | PA |