MS. KAREN BOULLIANNE BAGLEY FNP - NPI 1801960588 - Nurse Practitioner in Newport News, VA

Q: What is Karen Bagley's NPI number?

The NPI number for Karen Bagley is 1801960588. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Karen Bagley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Bagley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Karen Boullianne Bagley Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KAREN BOULLIANNE BAGLEY FNP (NPI 1801960588) is an individual family provider in Newport News, Virginia, licensed in Virginia (0024039042) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1801960588

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KAREN BOULLIANNE BAGLEYCredential: FNP

Location Address416 J CLYDE MORRIS BLVDNewport News, VA 23601-1927

Mailing Address13 W Wainwright DrPoquoson, VA 23662-1546 · (757) 868-4366

Phone(757) 594-7400

Sole ProprietorYes

Enumeration DateNovember 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1801960588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024039042

416 J CLYDE MORRIS BLVD, Newport News, VA 23601

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Other Identifiers 2

Medicare UPINP08939VA

Medicare ID-Type Unspecified001598C59VA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. GLINDA R SYKES NURSE PRACTITIONER

Nurse Practitioner (Family)