Healthcare Provider Details

I. General information

NPI: 1013740950
Provider Name (Legal Business Name): BRITTANY M HAGER APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 METKER TRL
STANFORD KY
40484-1020
US

IV. Provider business mailing address

PO BOX 990
DANVILLE KY
40423-0990
US

V. Phone/Fax

Practice location:
  • Phone: 606-365-3360
  • Fax: 606-365-9378
Mailing address:
  • Phone: 859-239-2460
  • Fax: 606-365-9378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4026767
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4026767
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: