NPI Profile for ANGIE L HAGAN in DEMING, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
General Practice |
163WG0000X | |||
Midwife |
176B00000X |
| 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 |
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| Hospital affiliation(s) |
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ANGIE L HAGAN
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