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Contact Information

LANDRY C BAGWELL, NP
1100 N 18TH ST
MONROE, LA71201-5780
 Phone: 318-966-8850
 Fax: 318-966-8851
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LANDRY C BAGWELL · (Female)

NPI # 1356862858
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/05/2017
Last updated 03/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • LA License # AP09320
Hospital affiliation(s)
  • NORTHERN LOUISIANA MEDICAL CENTER - (Acute Care)
    401 EAST VAUGHN AVENUE
    RUSTON, LA 71270
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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