Individual
BRENDA W HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, FNP
Contact information
Practice address
1451 HOSPITAL DR, FREDERICKSBURG, VA 22401-8424
(540) 899-5864
(540) 372-2023
Mailing address
PO BOX 1460, FREDERICKSBURG, VA 22402-1460
(540) 786-2100
(540) 786-0677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0017001521
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801907647
—
VA
01
—
540896390
TRICARE
VA
Enumeration date
08/31/2006
Last updated
10/03/2014
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