person
Mandie E Bagwell, FNP
Family Nurse Practitioner in Johnston City, Illinois
NPI 1720214794

Mandie E Bagwell is a Family Nurse Practitioner based in Christopher, IL and is specialized in Family. Mandie E Bagwell practices in Johnston City, IL and has the professional credentials of FNP. The NPI Number for Mandie E Bagwell is 1720214794 and holds a License No. 209007566 (Illinois).

The current practice location address for Mandie E Bagwell is 14410 Route 37, Johnston City, IL and can be reached out via phone at 618-983-6911 and via fax at 618-983-6913.

Location: 14410 Route 37, Johnston City, IL, 62822-0155
person
Provider Profile Details
NPI Number
1720214794
Provider Name
Mandie E Bagwell
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
14410 Route 37, Johnston City, IL, 62822-0155
Phone Number
618-983-6911
Fax Number
618-983-6913
Provider Enumeration Date
06/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14410 Route 37
City
State
Zip
62951-3166
Phone Number
618-983-6911
Fax Number
618-983-6913
person
Provider Business Mailing Address Details
Address
14410 Route 37
City
State
Zip
62951-3166
Phone Number
618-983-6911
Fax Number
618-983-6913
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209007566 (Illinois)
Definition
Definition to come...
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