Individual
SUSAN KAY BAGGALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84132
(801) 213-3900
Mailing address
PO BOX 413027, SALT LAKE CITY, UT 84141-3027
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
213307-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500007215
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
10/16/2021
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