Individual
MRS. PATRICIA ANN HAGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1705 COLONIAL BLVD, PEDIATRIC SERVICES OF AMERICA, FT MYERS, FL 33908
(239) 939-3159
Mailing address
1705 COLONIAL BLVD, PEDIATRIC SERVICES OF AMERICA, FT MYERS, FL 33908
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
1666641
NY
164W00000X
Licensed Practical Nurse
Primary
PN5150091
FL
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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