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Contact Information

SANDRA W BAGLEY, APRN PHD MSW
3683 WILDE ROSE LANE
SALT LAKE CITY, UT84109
 Phone: 801-273-0295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Marriage & Family Therapist

106H00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for SANDRA W BAGLEY · (Female)

NPI # 1023022415
Status Active
Credentials APRN PHD MSW
Entity Individual
Enumeration date 07/28/2006
Last updated 03/04/2013 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 1166903502
  • UT License # 1166903902
  • UT License # 1166904405
  • UT Other U000075209 PTAN
Hospital affiliation(s) Not Available
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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