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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1801907647 NPPES
Virginia MEDICAID 1801907647
Virginia Other 540896390

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