NIKKI LYNNE HAGEN


Address: 15953 Aime Ln, Wadsworth, IL 60083-9626
Phone: 8476232616

NIKKI LYNNE HAGEN (NPI# 1174959183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174959183
Entity Type Individual
Full Name NIKKI LYNNE HAGEN
Credential NP
Practice Address 15953 Aime Ln
Wadsworth
IL 60083-9626
Practice Telephone 8476232616
Mailing Telephone 8476232616
Enumeration Date 2013-09-23
Last Update Date 2013-09-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0102X Registered Nurse
Specialization: Maternal Newborn
041.138021 IL Nursing Service Providers

Office Location

Street Address 15953 AIME LN
City WADSWORTH
State IL
Zip Code 60083-9626

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1073140513 Grishma V. Gandhi Nurse Practitioner 13100 W Yorkshire Ln, Beach Park, IL 60083-3020 2020-03-25
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Taxonomy Information

Taxonomy Code 163WM0102X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Maternal Newborn

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952930372 Julie Wiess Registered Nurse 1032 N Claremont Dr, Palatine, IL 60074-4000 2020-04-07
1699314310 Tarissa La Shell Stanciel Registered Nurse 932 23rd Ave, Bellwood, IL 60104-2501 2019-12-28
1134443989 Priscilla Ann Brown Registered Nurse 435 E Oakwood Blvd Unit 37, Chicago, IL 60653-2337 2010-03-23
1376890517 Marshelle M Santoro Registered Nurse 3815 Highland Ave, Lactation Office, Downers Grove, IL 60515-1500 2012-08-07
1316276801 Tanya C Mchale Registered Nurse 715 Lake St, Suite 516, Oak Park, IL 60301-1422 2009-12-14
1215193453 Lorian Leigh Williams Willis Registered Nurse 4440 W 95th St, Oak Lawn, IL 60453-2600 2008-08-06
1497798656 Kim Lucille Armour Registered Nurse 25 North Winfield Rd., Winfield, IL 60190 2006-06-14

Competitor

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City WADSWORTH
Zip Code 60083

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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