Most Relevant Information
Provider Data
| NPI Number: | 1003309014 |
| Provider Name: | ANGELA HAGEDORN LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 16552 |
Most Important Dates
| Enumeration Date: | 06/13/2018 |
| Last Updated: | 06/13/2018 |
Provider Practice Location
123 S. WEBB RD.
GRAND ISLAND
NE
68802
Practice Location Phone/Fax
| Phone: | 3083855900 |
| Fax: |
Provider Mailing Location
123 S. WEBB RD.
GRAND ISLAND
NE
68802
Provider Mailing Phone/Fax
| Phone: | 3083855900 |
| Fax: |