Individual
MS. DARLA L BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
(772) 464-9750
Mailing address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3016352
FL
Other
Enumeration date
10/11/2005
Last updated
05/17/2013
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