Individual provider · Type 1 NPI

Tammy Ruth Hagstrom

Licensed Practical Nurse · Conneaut, OH

NPI number 1063909125 Active

Practice location

1000 Center Rd
Conneaut, OH 44030-9725

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X106094 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1063909125

Tammy Ruth Hagstrom's National Provider Identifier is 1063909125, issued on Apr 15, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Conneaut, OH. The record was last updated on Apr 15, 2018.