Provider Demographics
NPI:1558800920
Name:HAGER, COURTNEY N (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:N
Last Name:HAGER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 RITTER RD STE 202
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-6922
Mailing Address - Country:US
Mailing Address - Phone:717-516-1332
Mailing Address - Fax:484-626-5195
Practice Address - Street 1:5000 RITTER RD STE 202
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-6922
Practice Address - Country:US
Practice Address - Phone:717-516-1332
Practice Address - Fax:484-626-5195
Is Sole Proprietor?:No
Enumeration Date:2017-02-18
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005239133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered