Individual
KRISTIN LYN BAGIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, RN, NP-C
Contact information
Practice address
3700 SOUTH ST, LAKEWOOD, CA 90712-1498
(562) 531-2550
Mailing address
PO BOX 3521, NEWPORT BEACH, CA 92659-8521
(949) 436-2203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
814348
CA
176B00000X
Midwife
208
CA
363L00000X
Nurse Practitioner
290673
AZ
363L00000X
Nurse Practitioner
Primary
95011438
CA
Other
Enumeration date
03/28/2007
Last updated
06/22/2023
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