Individual
DR. SANDRA W BAGLEY
Active
Individual
DR. SANDRA W BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PHD MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1166903502
UT
106H00000X
Marriage & Family Therapist
1166903902
UT
363LF0000X
Family Nurse Practitioner
Primary
1166904405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000075209
PTAN
UT
Enumeration date
07/28/2006
Last updated
08/09/2026
Update your record
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