National Provider Identifier Database

LAURIE L BAGWELL, FNP-BC – NPI #1760652127
Family


Contact Information

LAURIE L BAGWELL, FNP-BC
9685 LEEWARD SLOPES DR
LAKELAND, TN38002-8302
Phone: 901-380-1972
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for LAURIE L BAGWELL

NPI Number 1760652127
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/01/2008
Last updated 04/16/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: 13183
Hospital affiliation n/a

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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