Individual
MRS. HEATHER ANNE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3430 WASHINGTON PKWY, THE PEDIATRIC CENTER, IDAHO FALLS, ID 83404-7579
(208) 523-3060
Mailing address
3430 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7579
(208) 523-3060
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20366A
ID
Other
Enumeration date
09/25/2009
Last updated
03/28/2017
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