NPI Search for Physicians and Health Care Providers
DEBORAH M HAGEDORN LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1861547648
Individual Registrant:
DEBORAH M HAGEDORN LPN
Gender: F
Sole Proprietor
Location and contact information for practice:
58 E SHORE BLVD TIMBERLAKE, OH 44095-1903 US
Tel: 440-953-0395 Fax: --
Contact information for business:
58 E SHORE BLVD TIMBERLAKE, OH 44095-1903 US
Tel: 440-953-0395 Fax: --
Registration Information:
NPI: 1861547648
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse
| OH | PN. 116989 MEDS IV |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 2593671 | OH | 05 |
HEALTH CARE JOBS OH - Page 1