Individual
AMBER MARIE HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
410 TIMBER HEIGHTS DR, RHINELANDER, WI 54501
(715) 369-3915
Mailing address
4058 SHADY POINT DRIVE, RHINELANDER, WI 54501
(715) 360-3301
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35038700
—
WI
Enumeration date
04/09/2008
Last updated
04/09/2008
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