Bagley, Heather Anne
Bagley, Heather Anne is an individual health care provider with primary practice located at 3430 Washington Pkwy The Pediatric Center, Idaho Falls ID 83404-7579. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bagley, Heather Anne can be contacted via phone (208) 523-3060.Contact Information
Primary practice address
3430 Washington Pkwy The Pediatric Center
Idaho Falls ID 83404-7579
Phone: (208) 523-3060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 20366A | Idaho |
Profile Details
| NPI number | 1720312523 |
|---|---|
| LBN Legal business name | Bagley, Heather Anne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2009 |
| Last updated | Mar 28th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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