SUE ELLEN HAGIE NP NPI 1477531077

NPI Information

NPI: 1477531077
Provider Name: SUE ELLEN HAGIE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
301 RANDOLPH ST
DENTON, MD
ZIP 21629
Phone: (410) 479-4306
Get Directions

Sue Ellen Hagie, NP is a family nurse practitioner in Denton, MD. Sue Ellen Hagie, NP NPI is 1477531077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 RANDOLPH ST
DENTON, MD
ZIP 21629-243
Phone: (410) 479-4306
Fax: (410) 479-1714

The enumeration date for this NPI number is 1/4/2006 and was last updated on 6/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024164940	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	R039951	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	521116591	OTHER	MARYLAND	MARYLAND PHYSICIANS CARE
2	S135P263	MEDICARE PIN
3	521116591	OTHER	MARYLAND	NCPPO
4	T5880041	OTHER	MARYLAND	CF BC/BS GRP/GHMSI/BL CHO
5	521116591	OTHER	MARYLAND	INFORMED
6	Q05397	MEDICARE UPIN
7	521116591	OTHER	MARYLAND	TRICARE
8	784381000	MEDICAID	MARYLAND
9	521116591	OTHER	MARYLAND	COVENTRY
10	206378	OTHER	MARYLAND	PRIORITY PARTNERS
11	89623401	OTHER	MARYLAND	CAREFIRST BC/BS RENDERING
12	521116591	OTHER	MARYLAND	CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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