Individual
MS. KAREN BOULLIANNE BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
416 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1927
(757) 594-7400
Mailing address
13 W WAINWRIGHT DR, POQUOSON, VA 23662-1546
(757) 868-4366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024039042
VA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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