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NPI Code Detail

MEDICARE: ANNA NOEL HAGER

MEDICARE:   ANNA NOEL HAGER
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1174175590
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA NOEL HAGER
Provider Business Mailing Address
First Line : 5037 SE NELSON RD
Second Line :
City : OLALLA
State : WA
Zip : 98359-9526
Country : US
Telephone Number : 253-355-6221
Fax Number :
Provider Business Practice Location Address
First Line : 4171 WHEATON WAY STE 6
Second Line :
City : BREMERTON
State : WA
Zip : 98310-3603
Country : US
Telephone Number : 253-355-6221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2019
Last Update Date : 07/15/2019

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Directions to “ ANNA NOEL HAGER ” Practice Location

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