Individual
SHANDY BAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
404 S MAIN, SHATTUCK, OK 73858
(580) 938-5400
(580) 938-5409
Mailing address
PO BOX 827, 404 S MAIN, SHATTUCK, OK 73858-0827
(580) 938-5400
(580) 938-5409
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74124
OK
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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