Individual
NATALIE MARIE HAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 E WARM SPRINGS AVE STE B, BOISE, ID 83712-6243
(208) 381-6930
(208) 381-6931
Mailing address
1115 N 21ST ST, BOISE, ID 83702-3218
(208) 309-1313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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