Individual provider · Type 1 NPI
Angie Le'alice Hagan, CPM, CNP
Primary Care Nurse Practitioner · Deming, NM
NPI number
1629307194
Active
Practice location
1511 S Lime St
Deming, NM 88030-6207
Fax (855) 653-5023
Other practice locations
- 3331 Del Rey Blvd, Las Cruces, NM 88012 · (575) 373-1033
- 300 S Gold Ave, Deming, NM 88030-3731 · (575) 680-3094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | CNP-02963 (NM) |
| Midwife | 176B00000X | 02431R (NM) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | CNP-02963 (NM) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Deming
About NPI 1629307194
Angie Le'alice Hagan, CPM, CNP's National Provider Identifier is 1629307194, issued on Dec 13, 2009. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Deming, NM. The record was last updated on Apr 15, 2022.