Individual
NIKKI LYNNE HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15953 AIME LN, WADSWORTH, IL 60083-9626
(847) 623-2616
Mailing address
15953 AIME LN, WADSWORTH, IL 60083-9626
(847) 623-2616
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
041.138021
IL
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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