Individual
CHERIE MCKEITHEN BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7777 HENNESSY BLVD, STE 701, BATON ROUGE, LA 70808-4300
(225) 765-5864
(225) 765-2013
Mailing address
7777 HENNESSY BLVD, STE 701, BATON ROUGE, LA 70808-4300
(225) 765-5864
(225) 765-2013
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN096425AP06087
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03129730
—
MS
05
—
2101072
—
LA
Enumeration date
12/10/2009
Last updated
01/06/2021
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