Holly Reynolds Hagy, BSN-RN
Registered Nurse, School in Magdalena, NM. Individual provider (NPI-1).
NPI number1245069780
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1245069780
- Entity type
- Individual (NPI-1)
- Name
- Holly Reynolds Hagy
- Credential
- BSN-RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | RN-83521 | NM | Yes |
Practice location
201 Duggins DrMagdalena, NM 87825
Phone 575-854-8030
Mailing address
Po Box 204Magdalena, NM 87825-0204
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