Mandie E Bagwell, FNP | |
14410 Route 37, Johnston City, IL 62951-3166 | |
(618) 983-6911 | |
(618) 983-6913 |
Full Name | Mandie E Bagwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 14410 Route 37, Johnston City, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720214794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209007566 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mandie E Bagwell, FNP Po Box 155, 4241 State Hwy 14 W, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Mandie E Bagwell, FNP 14410 Route 37, Johnston City, IL 62951-3166 Ph: (618) 983-6911 |
Sabrina Lynn Stevens, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17410 Harris School Rd, Johnston City, IL 62951 Phone: 618-889-3817 | |
Gina D Gunther, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14410 Route 37, Johnston City, IL 62951 Phone: 618-983-6911 Fax: 618-983-6913 |