Marie A Hager, APRN FNP

Individual provider Active NPI Family Nurse Practitioner · Conway, NH

NPI 1881075802 · NPPES record last updated Aug 1, 2019

Key facts

NPI
1881075802
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
053982-23 (NH)
Practice address
47 Washington St
Conway, NH 03818-6057
Phone
(603) 662-4680
Fax
(855) 609-1958
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP141122MEMDFamily Nurse Practitioner
053982-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asana Health PLLC Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP141122 ME
Family Nurse Practitioner 363LF0000X 053982-23 NH Yes

Addresses

Primary practice location

47 Washington St
Conway, NH 03818-6057

Mailing address

PO Box 446
Center Conway, NH 03813-0446
Phone (207) 632-9881

Other providers in Conway, NH

All providers in Conway, NH · Family Nurse Practitioner in New Hampshire

Sources for this page

Verify at the official NPI Registry.