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Individual

DENISE M HAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3 AUDUBON PLAZA DR, SUITE 430, LOUISVILLE, KY 40217-1300
(502) 636-4900
(502) 636-4901
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004611
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000684231
ANTHEM - NOTC
KY
01
000057058P
HUMANA - NOTC
KY
01
103858
SIHO - NOTC
KY
01
3272494
CIGNA - NOTC
KY
01
50030511
PASSPORT/PASSPORT ADVANTAGE - NOTC
KY
05
7100021680
KY
Enumeration date
10/19/2006
Last updated
02/02/2017
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