Individual
REBEKAH ANN HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4901 FOREST PARK AVE STE 420, SAINT LOUIS, MO 63108-1453
(314) 362-9100
(314) 362-9107
Mailing address
4901 FOREST PARK AVE STE 420, SAINT LOUIS, MO 63108-1453
(314) 362-9100
(314) 362-9107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016006246
MO
363L00000X
Nurse Practitioner
Primary
2022003923
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016003246
RN
MO
01
—
2022003923
NPI
MO
Enumeration date
01/04/2022
Last updated
02/21/2022
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