Individual
JANICE H HAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3423
SC
363LA2100X
Acute Care Nurse Practitioner
5003891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006373
—
NC
01
—
NC9144A
MEDICARE PTAN
NC
Enumeration date
01/28/2008
Last updated
06/15/2015
Update your record
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