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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 106094 (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.