Dr. Elisabeth Ann Hagen
Infectious Disease
4613 40th St N
Arlington
, Virginia 22207-2961
Dr. Elisabeth Ann Hagen
Infectious Disease
4613 40th St N
Arlington
, Virginia 22207-2961
(301) 518-4676
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Elisabeth Ann Hagen
- 4613 40th St N
- Arlington, VA
- Zip : 22207-2961
- Phone : (301) 518-4676
Second Address
- Dr. Elisabeth Ann Hagen
- 4613 40th St N
- Arlington, VA
- Zip : 22207-2961
- Phone : (301) 518-4676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RI0200X | Infectious Disease | D0061008 | MD |
| Y | 207RI0200X | Infectious Disease | MD034566 | DC |
National Provider Identifier
| NPI | 1053300939 |
|---|---|
| Provider Name | Dr. Elisabeth Ann Hagen |
| First Address | Arlington, VA 22207-2961 |
| Second Address | Arlington, VA 22207-2961 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 21/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G96181 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.