Individual provider · Type 1 NPI

Leah Michelle Bagley, NP-C

Family Nurse Practitioner · Shaw Afb, SC

NPI number 1962030809 Active

Practice location

420 Polifka Dr
Shaw Afb, SC 29152-5100

Other practice locations

  • 114 Gateway Corporate Blvd Ste 300, Columbia, SC 29203-8801 · (839) 200-7815
  • 7430 College St, Irmo, SC 29063-2903 · (839) 200-7810

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN262574 (GA)
Family Nurse Practitioner Primary 363LF0000X24751 (SC)

Family Nurse Practitioner: Definition to come...

33 other providers at this address

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About NPI 1962030809

Leah Michelle Bagley, NP-C's National Provider Identifier is 1962030809, issued on Mar 27, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shaw Afb, SC. The record was last updated on Nov 25, 2024.