Individual provider · Type 1 NPI

Karen Boullianne Bagley, FNP

Family Nurse Practitioner · Newport News, VA

NPI number 1801960588 Active

Practice location

416 J Clyde Morris Blvd
Newport News, VA 23601-1927

Mailing address

13 W Wainwright Dr
Poquoson, VA 23662-1546

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024039042 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1801960588

Karen Boullianne Bagley, FNP's National Provider Identifier is 1801960588, issued on Nov 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newport News, VA. The record was last updated on Jul 8, 2007.