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TAMMY RUTH HAGSTROM
NPI 1063909125
Licensed Practical Nurse in Conneaut, OH

Active since April 15, 2018
1000 CENTER RD, CONNEAUT, OH 44030(440) 813-9777 Get Directions Write a Review

NPPES record last updated: April 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tammy Ruth Hagstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY RUTH HAGSTROM (NPI 1063909125) is an individual licensed practical nurse in Conneaut, Ohio, licensed in Ohio (106094) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1063909125
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTAMMY RUTH HAGSTROM
Location Address1000 CENTER RDConneaut, OH 44030-9725
Mailing Address1000 Center RdConneaut, OH 44030-9725 · (440) 813-9777
Phone(440) 813-9777
Sole ProprietorYes
Enumeration DateApril 15, 2018
✔ NPI 1063909125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 106094
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1000 CENTER RD, Conneaut, OH 44030
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Hagstrom's NPI number?

The NPI number for Tammy Hagstrom is 1063909125. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Tammy Hagstrom located?

Tammy Hagstrom practices at 1000 Center Rd, Conneaut, OH 44030. The listed phone number is (440) 813-9777.

What is Tammy Hagstrom's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tammy Hagstrom was last updated on April 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.