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Contact Information

CHARLENE M HAGEN, CNP
622 W MAPLE ST
SUITE B
FARMINGTON, NM87401-6590
 Phone: 505-327-4867
 Fax: 505-327-5355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHARLENE M HAGEN · (Female)

NPI # 1306154463
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 09/22/2010
Last updated 09/22/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CNP-01673
Hospital affiliation(s)
  • SAN JUAN REGIONAL MEDICAL CENTER - (Acute Care)
    801 WEST MAPLE STREET
    FARMINGTON, NM 87401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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