Individual
TRACI HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 213-0109
(712) 213-0186
Mailing address
601 ROSARY DR, ATTN: LISA SMITH, CORNING, IA 50841-1683
(641) 322-5425
(641) 322-4687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A107752
IA
Other
Enumeration date
08/18/2016
Last updated
10/23/2025
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