Individual provider · Type 1 NPI
Charles W. Bagley, PNP
Pediatric Nurse Practitioner · Collierville, TN
NPI number
1992714588
Active
Practice location
120 Crescent Dr
Collierville, TN 38017
Fax (901) 757-3563
Mailing address
8110 Walnut Run Rd
Cordova, TN 38018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 121342 (TN) |
Pediatric Nurse Practitioner: Definition to come...
4 other providers at this address
- Andrew Noble Irwin, MDPediatrics Physician Collierville, TN NPI 1982998357
- Grant Thomas Newman, MDPediatrics Physician Collierville, TN NPI 1063421881
- Wayland J. Hayes Iii, MDPediatrics Physician Collierville, TN NPI 1932110129
- William Murray Fesmire, MDPediatrics Physician Collierville, TN NPI 1194737676
Other pediatric nurse practitioner providers in Collierville
About NPI 1992714588
Charles W. Bagley, PNP's National Provider Identifier is 1992714588, issued on Aug 5, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Collierville, TN. The record was last updated on Jul 8, 2007.