Hagan, Brenda W
Hagan, Brenda W is an individual health care provider with primary practice located at 1451 Hospital Dr , Fredericksburg VA 22401-8424. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hagan, Brenda W can be contacted via phone (540) 899-5864.Contact Information
Primary practice address
1451 Hospital Dr
Fredericksburg VA 22401-8424
Phone: (540) 899-5864
Fax: (540) 372-2023
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0017001521 | Virginia |
Profile Details
NPI number | 1801907647 |
---|---|
LBN Legal business name | Hagan, Brenda W |
Credentials | RNC, FNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Oct 3rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801907647 | NPPES |
Virginia | MEDICAID | 1801907647 | |
Virginia | Other | 540896390 |
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