Provider Demographics
NPI:1063429223
Name:HAGIE, BARBARA A (ANP-C)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:HAGIE
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 HOSPITAL PLACE
Mailing Address - Street 2:PAIN MANAGEMENT CLINIC
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7714
Mailing Address - Country:US
Mailing Address - Phone:907-714-4075
Mailing Address - Fax:
Practice Address - Street 1:250 HOSPITAL PLACE
Practice Address - Street 2:PAIN MANAGEMENT CLINIC
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7714
Practice Address - Country:US
Practice Address - Phone:907-714-4075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1260363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily