person
Mrs. Heather Anne Bagley, NP
Pediatric Nurse Practitioner in Idaho Falls, Idaho
NPI 1720312523

Heather Anne Bagley is a Pediatric Nurse Practitioner based in Idaho Falls, ID and is specialized in Pediatrics. Heather Anne Bagley practices in Idaho Falls, ID and has the professional credentials of NP. The NPI Number for Heather Anne Bagley is 1720312523 and holds a License No. 20366A (Idaho).

The current practice location address for Heather Anne Bagley is 3430 Washington Pkwy, Idaho Falls, ID and can be reached out via phone at 208-523-3060.

Location: 3430 Washington Pkwy, Idaho Falls, ID, 83404-7579
person
Provider Profile Details
NPI Number
1720312523
Provider Name
Heather Anne Bagley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3430 Washington Pkwy, Idaho Falls, ID, 83404-7579
Phone Number
208-523-3060
Fax Number
Provider Enumeration Date
09/25/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3430 Washington Pkwy
City
State
Zip
83404-7579
Phone Number
208-523-3060
Fax Number
person
Provider Business Mailing Address Details
Address
3430 Washington Pkwy
City
State
Zip
83404-7579
Phone Number
208-523-3060
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
20366A (Idaho)
Definition
Definition to come...
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