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NPI Code Detail

MEDICARE: JANE HAGUE CNP

MEDICARE: JANE HAGUE CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP-00030OH

General Provider Information

NPI Number : 1134303142
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE HAGUE CNP
Provider Business Mailing Address
First Line : 161 WASHINGTON STREET
Second Line : EIGHT TOWER BRIDGE, SUITE 1400
City : CONSHOHOCKEN
State : PA
Zip : 19428
Country : US
Telephone Number : 866-825-3227
Fax Number : 484-450-2617
Provider Business Practice Location Address
First Line : 4090 E GALBRAITH ROAD
Second Line :
City : DEER PARK
State : OH
Zip : 45236
Country : US
Telephone Number : 866-825-3227
Fax Number : 484-450-2617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2007
Last Update Date : 12/27/2007

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