Individual
JANE HAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4090 E GALBRAITH ROAD, DEER PARK, OH 45236
(866) 825-3227
(484) 450-2617
Mailing address
161 WASHINGTON STREET, EIGHT TOWER BRIDGE, SUITE 1400, CONSHOHOCKEN, PA 19428
(866) 825-3227
(484) 450-2617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-00030
OH
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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