Individual
BILLIE J. HAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12961 27TH AVE, CHIPPEWA FALLS, WI 54729-5699
(715) 738-3700
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0330
SD
363LF0000X
Family Nurse Practitioner
Primary
3572
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6825632
—
SD
Enumeration date
02/17/2006
Last updated
01/26/2010
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