Individual
MRS. ERIKA HAGELGANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
214 N CADDO ST, CLEBURNE, TX 76031-4904
(785) 409-7641
Mailing address
303 S OLD MANSFIELD RD, KEENE, TX 76059-2016
(785) 409-7641
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1137317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331586838
—
TX
Enumeration date
08/14/2024
Last updated
11/02/2024
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