Individual
MS. ERICA LYNN BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
321C POPLAR DR, PETERSBURG, VA 23805-9306
(804) 733-5591
(804) 733-3506
Mailing address
321C POPLAR DR, PETERSBURG, VA 23805-9306
(804) 733-5591
(804) 733-3506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20987
CA
Other
Enumeration date
10/12/2011
Last updated
03/27/2018
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