Hagen, Charlene Michelle

Hagen, Charlene Michelle is an individual health care provider with primary practice located at 622 W Maple St Suite B, Farmington NM 87401-6590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hagen, Charlene Michelle can be contacted via phone (505) 327-4867.

Contact Information

Primary practice address
622 W Maple St Suite B Farmington NM 87401-6590
Phone: (505) 327-4867
Fax: (505) 327-5355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-01673 New Mexico

Profile Details

NPI number 1306154463
LBN Legal business name Hagen, Charlene Michelle
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2010
Last updated Sep 22nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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