Basic Information
| Provider Information | |||||||||
| NPI: | 1386981793 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAGER | ||||||||
| FirstName: | VALERIE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 MEDICAL ARTS BLDG | ||||||||
| Address2: | STE 640 | ||||||||
| City: | KITTANNING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 162017134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245438577 | ||||||||
| FaxNumber: | 7245438788 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 MEDICAL ARTS BLDG | ||||||||
| Address2: | STE 640 | ||||||||
| City: | KITTANNING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 162017134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245438577 | ||||||||
| FaxNumber: | 7245438788 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/07/2013 | ||||||||
| LastUpdateDate: | 03/23/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | SP012552 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.