Individual
MELINDA BAGSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
Mailing address
5232 MASONBORO HARBOR DR, WILMINGTON, NC 28409-4156
(910) 792-1925
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76512
NC
Other
Enumeration date
07/08/2006
Last updated
03/12/2021
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