Individual
MS. WENDY BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
24190 US HIGHWAY 98, STE D, FAIRHOPE, AL 36532-3352
(251) 517-8150
Mailing address
2868 ACTON RD, VESTAVIA, AL 35243-2502
(205) 968-8360
(205) 968-8361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-132699
AL
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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