Individual
ANITA BAGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 732-2800
(218) 732-2857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4147
MN
Other
Enumeration date
10/05/2015
Last updated
12/28/2015
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