Charlene Michelle Hagen, CNP
NPI #1306154463 in Farmington, New Mexico
Provider Information
- NPI Number
- 1306154463
- Entity Type
- Individual
- Name
- Charlene Michelle Hagen, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CNP
- Enumeration Date
- Sep 22, 2010
- Last Updated
- Sep 22, 2010
Practice Location
- Address
- 622 W MAPLE ST
- Address 2
- SUITE B
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-6590
- Phone
- (505) 327-4867
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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