Individual
KELLY MICHELLE BAGAMERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-3595
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2463285
MN
363L00000X
Nurse Practitioner
Primary
5990
MN
Other
Enumeration date
08/24/2018
Last updated
06/18/2019
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