Angel Dawn Bagley, RN, FNP-BC | |
630 W 3rd St, Milan, MO 63556-1076 | |
(660) 265-4212 | |
Not Available |
Full Name | Angel Dawn Bagley |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 630 W 3rd St, Milan, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912771882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2011008135 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2023045094 (Missouri) | Primary |
Entity Name | Sullivan County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063553642 PECOS PAC ID: 7810973252 Enrollment ID: O20040626000444 |
Mailing Address | Practice Location Address |
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Angel Dawn Bagley, RN, FNP-BC 22675 Highway M, Mercer, MO 64661-7907 Ph: (660) 953-1529 | Angel Dawn Bagley, RN, FNP-BC 630 W 3rd St, Milan, MO 63556-1076 Ph: (660) 265-4212 |
Megan Lynn Duffy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 W 3rd St, Milan, MO 63556 Phone: 660-265-4212 | |
Stephanie Alvera Granneman, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 N Market St, Milan, MO 63556 Phone: 660-265-4456 Fax: 660-265-4627 | |
Katelin Rae Spratt I, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 W 3rd St, Milan, MO 63556 Phone: 660-265-4212 | |
Amanda Dawn Wilford, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 52334 Business Highway 5, Milan, MO 63556 Phone: 660-265-1042 Fax: 660-265-1043 | |
Martha Kay Curtis, RN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 W 3rd St, Milan, MO 63556 Phone: 660-265-4212 Fax: 660-265-4898 | |
Sherri Lynn Hedges, APRN, FNP, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 N Market St, Milan, MO 63556 Phone: 660-265-4456 Fax: 660-265-4627 |