Amanda H Bagwell CRNA

NPI 1710176532 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1710176532
Gender Female
Enumeration Date 10/17/2007
Last Updated 04/24/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
830 SOUTH GLOSTER
TUPELO MS, 38801, US
Phone (662) 377-4394
Fax (662) 377-7045
Business Location
PO BOX 3294
TUPELO MS, 38803-3294, US
Phone (662) 377-4394
Fax (662) 377-7045
Toxanomy
Taxonomy Code 367500000X
License State Mississippi
License Number R867411
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According to our database, Mrs. Amanda H Bagwell CRNA NPI is 1710176532, taxonomy code is 367500000X and license number is R867411, license state is located at Mississippi. Amanda H Bagwell CRNA physically located at 830 South Gloster, Tupelo MS, 38801. NPI Number Amanda H Bagwell CRNA has the Individual type.

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1710176532 NPI number is provided on an as is basis without warranty of any kind. 1710176532 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda H Bagwell CRNA are for informational purposes only.