Provider Demographics
NPI:1285447375
Name:HAGAN, ASHLEY (RN/SRNA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:HAGAN
Suffix:
Gender:F
Credentials:RN/SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6058 ANDHURST DR
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-2609
Mailing Address - Country:US
Mailing Address - Phone:251-223-3603
Mailing Address - Fax:
Practice Address - Street 1:6058 ANDHURST DR
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-2609
Practice Address - Country:US
Practice Address - Phone:251-223-3603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-144965163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine