Provider Demographics
NPI:1346585429
Name:HAGER, ARLETTE DARSHAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:ARLETTE
Middle Name:DARSHAN
Last Name:HAGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 432
Mailing Address - Street 2:24276 166TH STREE, AIRPORT ROAD
Mailing Address - City:EAGLE BUTTE
Mailing Address - State:SD
Mailing Address - Zip Code:57625-0590
Mailing Address - Country:US
Mailing Address - Phone:605-964-0745
Mailing Address - Fax:605-964-4839
Practice Address - Street 1:24276 166TH STREE, AIRPORT ROAD
Practice Address - Street 2:
Practice Address - City:EAGLE BUTTE
Practice Address - State:SD
Practice Address - Zip Code:57625-0590
Practice Address - Country:US
Practice Address - Phone:605-964-0788
Practice Address - Fax:605-964-1399
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR030428163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse