Holly Reynolds Hagy, BSN-RN
Individual provider Active NPI School Registered Nurse · Magdalena, NM
NPI 1245069780 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1245069780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN-83521 (NM)
- Practice address
- 201 Duggins Dr
Magdalena, NM 87825 - Phone
- (575) 854-8030
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-83521 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-83521 | NM | Yes |
Addresses
Primary practice location
201 Duggins Dr
Magdalena, NM 87825
Mailing address
PO Box 204
Magdalena, NM 87825-0204
Other providers in Magdalena, NM
- New World Transportation Non Emergency LLC
- Staci Elizabeth Oldham
- Aimee Pawlcyn
- Presbyterian Medical Services
- Lyndia A Radice
- Village of Magdalena
- Carrie L Willey
All providers in Magdalena, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.