Tara Hedge, LPN
NPI #1790164705 in Mullens, West Virginia
Provider Information
- NPI Number
- 1790164705
- Entity Type
- Individual
- Name
- Tara Hedge, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 22, 2015
- Last Updated
- May 22, 2015
Practice Location
- Address
- 698 CIRCLE DR
- City
- Mullens
- State
- West Virginia
- ZIP Code
- 25882-1347
- Phone
- (419) 610-8264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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