Individual
SUSAN HAGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE G500, HUNTINGTON, WV 25701-3656
(304) 691-1000
(304) 691-1693
Mailing address
1600 MEDICAL CENTER DR, SUITE G500, HUNTINGTON, WV 25701-3656
(304) 691-1000
(304) 691-1693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
34125
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097225
—
OH
05
—
7102316000
—
WV
05
—
78014438
—
KY
Enumeration date
04/18/2006
Last updated
07/08/2007
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