Individual
MRS. CHARLENA DIAN BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1110 W KINGSHIGHWAY, PARAGOULD, AR 72450-4164
(870) 205-2000
(870) 205-2001
Mailing address
1000 W KINGSHIGHWAY STE 14, PARAGOULD, AR 72450-4197
(870) 239-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213430
AR
Other
Enumeration date
08/19/2021
Last updated
09/13/2021
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