Search › Idaho › 176B00000X
Tracy Hagadorn, CPM, LM
NPI 1245726918 · on the registry since 2018
Practice
- Address
- 182 State Street
Eagle, ID 83616 - Phone
- (208) 631-8910
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho