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Contact Information

ANGIE L HAGAN, CPM, CNP
1511 S LIME ST
DEMING, NM88030-6207
 Phone: 575-538-2981
 Fax: 855-653-5023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

General Practice

163WG0000X
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for ANGIE L HAGAN · (Female)

NPI # 1629307194
Status Active
Credentials CPM, CNP
Entity Individual
Enumeration date 12/13/2009
Last updated 04/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 02431R
  • NM License # CNP-02963
Hospital affiliation(s)
  • MIMBRES MEMORIAL HOSPITAL - (Critical Access)
    900 W ASH
    DEMING, NM 88031
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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