Hage, Brenda

Hage, Brenda is an individual health care provider with primary practice located at 150 Mundy St , Wilkes Barre PA 18702-6830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hage, Brenda can be contacted via phone (570) 824-0930.

Contact Information

Primary practice address
150 Mundy St Wilkes Barre PA 18702-6830
Phone: (570) 824-0930
Fax: (570) 824-7755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TP-003758-B Pennsylvania

Profile Details

NPI number 1992790992
LBN Legal business name Hage, Brenda
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jun 18th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992790992 NPPES
Pennsylvania Other P00155573 RAILROAD MEDICARE
Pennsylvania Other 892898 RAILROAD MEDICARE
Pennsylvania Other 50076561 RAILROAD MEDICARE

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