MARY SUE HAGER MS FNP - NPI 1003994484 - Nurse Practitioner in Casper, WY

Q: What is Mary Hager's NPI number?

The NPI number for Mary Hager is 1003994484. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Mary Hager's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Hager was last updated on June 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mary Sue Hager Ms Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SUE HAGER MS FNP (NPI 1003994484) is an individual family provider in Casper, Wyoming, licensed in Wyoming (16044197) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1003994484

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY SUE HAGERCredential: MS FNP

Location Address301 S FENWAY ST STE 202Casper, WY 82601-3053

Mailing Address301 S Fenway St Ste 202Casper, WY 82601-3053 · (307) 577-7737 · Fax (307) 577-0049

Phone(307) 577-7737

Fax(307) 577-0049

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJune 28, 2011

✔ NPI 1003994484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WY · 16044197

301 S FENWAY ST STE 202, Casper, WY 82601

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Other Identifiers 1

Medicare UPINS80564WY

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE GOODE MA

Speech-Language Pathologist