Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY LYN HAGADORN, CPM, LM
ActiveTRACY LYN HAGADORN, CPM, LM is a Midwife healthcare provider located in EAGLE, Idaho. NPI 1245726918 is currently active in the NPPES registry. Verify at CMS.
Midwife · EAGLE, ID
Registration Details
- NPI Number
- 1245726918
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2018 (8.0705184128222 yrs)
- Last Updated
- Jul 6, 2018
- License
-
MID-86 (ID)
Practice Information
- Address
-
182 STATE STREETEAGLE, ID, 83616Browse ID providers · Browse ZIP 83616
- Phone
- 2086318910
- Primary Specialty
-
Midwife
176B00000X
Other Midwife Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE MARIE RADSMA | LM, CPM | 1972273159 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.