Individual
MS. DANA THERESA BAGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1120 WAYZATA BLVD E STE 120, WAYZATA, MN 55391-1984
(952) 443-4600
(952) 456-6633
Mailing address
1120 WAYZATA BLVD E STE 120, WAYZATA, MN 55391-1984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024170958
VA
363LF0000X
Family Nurse Practitioner
18099
SC
363LF0000X
Family Nurse Practitioner
3014513
KY
363LF0000X
Family Nurse Practitioner
AC001508
MD
363LF0000X
Family Nurse Practitioner
ARNP9200809
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12744
MN
Other
Enumeration date
08/15/2012
Last updated
12/02/2025
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