Doctor Name: | REBECCA ANN HAGY |
NPI Number: | 1699079277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 0001196749 |
Business Practice Address: | 145 Sue St Gate City, VA - 242512721 |
Business Phone Number: | 2763862783 |
Business Fax Number: | |
Mailing Address: | 145 Sue St, GATE CITY |
State: | VA |
Postal Code: | 242512721 |
Phone Number: | 2763862783 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2010 |
NPI Last Update Date: | 12/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 0001196749 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |