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Contact Information

CHERIE M BAGWELL, NP-C
7777 HENNESSY BLVD
STE 701
BATON ROUGE, LA70808-4300
 Phone: 225-765-5864
 Fax: 225-765-2013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHERIE M BAGWELL · (Female)

NPI Number 1801125448
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 12/10/2009
Last updated 01/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # RN096425AP06087
  • LA Medicaid 2101072
  • MS Medicaid 03129730
Hospital affiliation(s)
  • OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER - (Acute Care)
    5000 HENNESSY BLVD
    BATON ROUGE, LA 70808
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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