Individual provider · Type 1 NPI

Berit Maria Bagley

Diabetes Educator Registered Nurse · Provo, UT

NPI number 1912200205 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400X6808765-3102 (UT)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1912200205

Berit Maria Bagley's National Provider Identifier is 1912200205, issued on Dec 8, 2010. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Provo, UT. The record was last updated on Dec 14, 2010.