Bagwell, Sandra Lee

Bagwell, Sandra Lee is an individual health care provider with primary practice located at 21750 Sacramento Ave , Red Bluff CA 96080-7743. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bagwell, Sandra Lee can be contacted via phone (530) 736-6072.

Contact Information

Primary practice address
21750 Sacramento Ave Red Bluff CA 96080-7743
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 363069 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPF10050 California

Profile Details

NPI number 1801830880
LBN Legal business name Bagwell, Sandra Lee
Credentials PHD, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated May 15th, 2014 - about 10 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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