Individual
MRS. SHARONDA LASHAWN BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
109 RHODE ISLAND RD STE 4B, LAKEVILLE, MA 02347-1370
(774) 209-2372
(774) 217-7242
Mailing address
109 RHODE ISLAND RD STE 4B, LAKEVILLE, MA 02347-1370
(774) 209-2372
(774) 217-7242
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1138077
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
405360
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN04363
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2389758
MA
Other
Enumeration date
09/15/2023
Last updated
09/10/2025
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