Individual provider · Type 1 NPI

Tara Hedge, LPN

Licensed Practical Nurse · Mullens, WV

NPI number 1790164705 Active

Practice location

698 Circle Dr
Mullens, WV 25882-1347

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X34801 (WV)
Licensed Practical Nurse 164W00000XPN.130012-M-IV (OH)
Licensed Practical Nurse 164W00000X2046163 (KY)

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 1790164705

Tara Hedge, LPN's National Provider Identifier is 1790164705, issued on May 22, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mullens, WV. The record was last updated on May 22, 2015.