Individual
MRS. DENISE MARIE HAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N750 DOUG BLEGEN DR, SPRING VALLEY, WI 54767-8806
(715) 778-4301
Mailing address
N6971 CTY RD CC, SPRING VALLEY, WI 54767
(715) 778-4827
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31733-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39994500
—
WI
Enumeration date
04/05/2006
Last updated
07/09/2007
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